tci Part B Insider - 2016 Issue 4

Modifiers: 3 Quick Tips Keep Your Modifier 26 Claims Above Board

Hint: Don’t use this modifier in your office. Many coders know that modifiers 26 (Professional component…) and TC (Technical component) often go hand-in-hand—but that can be where their modifier 26 knowledge ends. Because some federal entities such as the Veteran’s Administration have released fraud alerts about modifier 26, now’s a good time to ensure that you’re reporting this modifier properly. 1. Modifier 26 Refers to the Doctor’s Interpretation Certain procedures within CPT® include both a professional and a technical component, and in certain cases, the technician who performs the test will report...

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