Practice Management

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  • 1.  Teleradiology Supervision - TC Modifier Billing

    Posted 03-26-2024 07:17

    Hello,

    We have an employed physician providing interpretations for diagnostic imaging from another state for patients who have received services at our imaging center.<u1:p></u1:p>

     

    I understand, I have to bill the interpretation with a 26 modifier and the interpreting physician's information to the Medicare MAC where he is reading.<u1:p></u1:p>

     

    My question is concerning the TC claims…<u1:p></u1:p>

    Do I need to bill the TC claim using the interpreting physician or would I bill the TC claim using the physician who was present and supervising the study at the imaging center on the DOS when the patient was seen?<u1:p></u1:p>

    Thank you,




    ------------------------------
    Kim Smiley CPC, RCC
    Coding Manager
    Northwest Radiology Network
    Indianapolis IN
    ------------------------------


  • 2.  RE: Teleradiology Supervision - TC Modifier Billing

    Posted 03-26-2024 09:53

    Hi Kim,

    You will bill the TC under the local supervising physician.

     

    Shannon

     

    Shannon N. Wilson, FRBMA

    Associate Director, Group Practice Management

     

    Professional Billing Office

    C: 925-407-6667 |Email: SWILSON39@mgh.harvard.edu

     

     






  • 3.  RE: Teleradiology Supervision - TC Modifier Billing

    Posted 03-26-2024 10:02

    When split billing the TC of a Level 2 test, the NPI of the supervising physician(s) (or, if applicable, the mid-level practitioner(s)) providing the required level of supervision -- by being physically or virtually present -- would be identified in Box 24J with the CPT/HCPCS code appended with the "-TC" modifier and the location where the test was performed reported in Box 32. The MAC with jurisdiction over the location of where the test was performed would be billed.

     

     

    Thomas W. Greeson

    Partner

    Life Sciences Health Industry Group

    He/Him/His

     

    tgreeson@reedsmith.com

    D: +1 703.641.4242

    M: +1 703.517.0495

     

    Reed Smith LLP

    7900 Tysons One Place

    Suite 500

    McLean, VA 22102-5979

    T: +1 703 641 4200

    F: +1 703 641 4340

    reedsmith.com