Author Topic: modifiers  (Read 1395 times)

Trisha Reyes

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« on: October 19, 2008, 11:08:59 PM »
Hi Michelle,

In your book covering midigiers you show modifiers that must be placed in the first modigier field, the physician I bill for has in house radiology and also reads his own xrays, I bill all xrays with the modifier 26 then TC is this correct? because they are both noted to be placed as in the first modifier field?  Also we are in a health professional shortage area, for the modifiers on an E & M visit would I enter 26 first then AQ ? My understanding is the AQ is only used on the E& M codes, is this correct ?


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Re: modifiers
« Reply #1 on: October 20, 2008, 06:52:05 PM »
Are you saying that you bill both the 26 and the TC modifier on the same line?  If you are billing for both the professional and technical component you don't need to have the modifiers.  The code alone means both, unless you add the 26 or the TC to indicate that you are only billing for the professional or technical component. 

Also, it doesn't matter which modifier you  put first as long as all of the applicable modifiers are on the line.  There is room for 4 on each service line. 

I looked on the CMS website regarding the AQ modifier and it doesn't indicate that it is for E&M codes only.  I would recommend either calling your local Medicare or putting it on all service lines.

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