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Author Topic: Modifier 26 - HELP!  (Read 1515 times)

NYMBS

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Modifier 26 - HELP!
« on: October 20, 2009, 04:25:41 PM »
I have a provider in TX who perform outpatient E/M services on hospital own property.  The hospital is billing for the technical component  and collecting a copayment ???.  They want me to bill for the professional component.  I didn't think you can split E/M billing.  Can you bill an E/M CPT (99205 - 99215) with modifier 26?
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Priyan

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Re: Modifier 26 - HELP!
« Reply #1 on: October 21, 2009, 07:23:51 AM »
Yes, Your are exactly correct, nothing to get confused in this.

For any E&M we cannot apply MOD 26 as E&M codes itself is professional service and not a technical one.

We bill these codes only for the evaluation of PT by our physician

In every card we will have seperate details on copay for E&M for physician and Sepcialist

Priyan.D
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Priyan.D
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Medical Billing Forum

Re: Modifier 26 - HELP!
« Reply #1 on: October 21, 2009, 07:23:51 AM »
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