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  1. When to Apply Modifiers 26 and TC - AAPC Knowledge Center

    Oct 14, 2020 · Understanding the appropriate use of modifiers 26 and TC is key to filing clean claims and avoiding denials for duplicate billing.

  2. CPT® Code 26 - Provider Services and Ambulatory Service Center …

    The Current Procedural Terminology (CPT ®) code 26 as maintained by American Medical Association, is a medical procedural code under the range - Provider Services and Ambulatory …

  3. Make 'Location, Location, Location' Your Modifier 26 Mantra - AAPC

    Jan 14, 2016 · Why Should I Use Modifier 26? Failure to use modifier 26 when the situation calls for it means the payer will consider your practice the global provider of the service, and the …

  4. Follow These Modifier 26 Dos and Don'ts to Keep Claims Flowing

    Oct 29, 2014 · Consider the following four Dos and Don’ts to perfect your modifier 26 coding knowledge. DO: If your provider performed only the interpretation and report for a procedure or …

  5. Clarify Partial Services With Modifiers 54, 26 : Modifiers - AAPC

    Mar 11, 2022 · In order to ensure proper modifier 26 use, coders should follow these basic guidelines: Understand what is included in the description of the code — some codes are for …

  6. Medical Coding Modifiers - CPT®, NCCI & HCPCS Level II - AAPC

    Aug 19, 2022 · A medical coding modifier is two characters (letters or numbers) appended to a CPT ® or HCPCS Level II code. The modifier provides additional information about the …

  7. Professional Services in the Clinical Lab: - AAPC

    Jul 1, 2009 · The article insists modifier 26 is required for codes 80048-89356 “in those instances when the physician is only billing for the professional component of the laboratory tests (eg, …

  8. Use Modifier -26 to Optimize Pay for Fundus Photography - AAPC

    May 1, 2001 · Proper billing of modifier 26 (professional component) and modifier -TC (technical component) is essential to getting paid in full and avoiding fraud charges when filing claims for …

  9. Nail down when one modifier can be used alone. If your physician provides diagnostic or radiologic services using equipment he doesn't own, you'll need to employ a modifier in order …

  10. Split Professional, Technical Components Like a Pro - AAPC

    Sep 4, 2008 · Purchasing power will change the rules for modifiers 26, TC Reporting modifiers 26 (Professional component) and TC (Technical component) may seem a breeze, but if you …