Medical Billing Forum
Billing => Billing => : NYMBS October 20, 2009, 04:25:41 PM
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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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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