Table of Contents
What is a 24 modifier used for?
Modifier 24 is defined as an unrelated evaluation and management service by the same physician or other qualified health care professional during a post-operative period. Medicare defines same physician as physicians in the same group practice who are of the same specialty.
What is the 53 modifier mean?
Current Procedural Terminology (CPT®) modifier 53 is used due to certain situations when a physician or other qualified health care professional elects to terminate a surgical or medical diagnostic procedure for extenuating circumstances when the well-being of the patient is at risk.
What are the modifiers for a procedure code?
Modifiers Used with Procedure Codes. 1 26: Professional Component. 2 TC: Technical Component. 3 99: Multiple Modifiers. Explain in the Remarks area/Additional Claim Information(Box 19) of the claim form. For further information about billing
What does professional component mean in Medicare modifier 26?
• Professional Component refers to certain procedures that are a combination of a physician component and a technical component. Using modifier 26 identifies the physician’s component. • To bill for only the professional component portion of a test
Do you report modifier 26 and TC on one line of service?
Do not report modifiers 26 and TC on the same procedure code on one line of service. Tufts Health Plan does not add or remove modifiers 26 (professional component) or TC (technical component) to procedure codes requiring the presence or absence of those modifiers in order to apply existing professional and technical component edits.
Which is an example of a code book modifier?
The CPT ® code book Introduction provides these additional examples of when a modifier may be appropriate: The service or procedure has both professional and technical components. More than one provider performed the service or procedure. More than one location was involved.