If the TC supplier and the interpreting physician's services were performed in the same Medicare payment locality, the service can be billed globally and the NPI of the interpreting physician can be used in box 24J regardless of which physician supervised the test. That physician's name can be used in Box 31.
It the TC and PC is billed separately, some MACs have an expectaton that the physician who supervised the test be indentified with that MD's NPI in Box 24J. There is no universal guidance on this point from CMS In such circumstance, but recommend identifiying the superviing physicina in Box 31 for the TC-only claim. The interpretting MD should be identified in boxes 24J and 31 for the PC-only claim.
------------------------------
Thomas Greeson JD, FRBMA
Partner
Reed Smith LLP
Mc Lean VA
(703) 641-4242
------------------------------
Original Message:
Sent: 10-24-2019 13:56
From: Richard Fleury
Subject: Box 31 and 24J on TC Claims
Hello everyone. Posted this on the coding board and there were no takers re this technical component claims question. Hopefully someone can weigh in.
If billing a technical component only XR or MRI claim in an office setting what/who is identified box 24J (rendering provider) and also who / what name should be populate in box 31 (signature)?
Would this change if split billing PC / TC on the same claim? If so how?
Thanks !
Rich Fleury
------------------------------
Richard Fleury BBA
Executive Director
Hospital For Special Surgery/Department of Radiology and Imaging
------------------------------