tci Part B Insider - 2012 Issue 15

Reader Question: Consider Modifier 26 With 76942

Question: For code 76942, which modifiers are allowed, and how do I report units?Answer: In relation to the Medicare physician fee schedule (MPFS), the modifier you're most likely to use with 76942 (Ultrasonic guidance for needle placement [e.g., biopsy, aspiration, injection, localization device], imaging supervision and interpretation) is modifier 26 (Professional component). Modifier 26 tells the payer you're reporting the physician's services. Those reporting only the technical component append modifier TC (Technical component). If you're reporting the global service (professional and technical combined), you should not append 26 or TC.When appropriate, the MPFS allows use of...

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