tci Part B Insider - 2014 Issue 36

Modifiers: Follow These Modifier 26 Dos and Don'ts to Keep Claims Flowing

Master your professional component claims with these quick tips Modifiers 26 and TC go together like peanut butter and jelly—most of the time. But if you don’t have a handle on when you should and shouldn’t append modifier 26 (Professional component) to your physician’s claims, you could find your claims denied or delayed. Consider the following four Dos and Don’ts to perfect your modifier 26 coding knowledge. DO: If your provider performed only the interpretation and report for a procedure or service, such as an x-ray, you should bill the service by attaching modifier...

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