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Modifier 26 - HELP!

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NYMBS:
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?

Priyan:
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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