Use the Correct Modifier When Billing for Diagnostic Tests
Posted Dec 08 2009 6:00am
According to a recent Transmittal from the Centers for Medicare and Medicaid Services, physicians and others are using modifier -PC to designate the "professional component" of diagnostic tests. However, the -PC modifier is actually to be used to designate "Wrong Surgical or Other Invasive Procedure Performed on a Patient."
Apparently many providers assume that because the modifier for technical component services is -TC, the corresponding modifier for professional components is -PC. In fact, the correct modifier for professional component services is -26.
Note that Claims submitted with the wrong modifier will be denied.
Apparently many providers assume that because the modifier for technical component services is -TC, the corresponding modifier for professional components is -PC. In fact, the correct modifier for professional component services is -26.
Note that Claims submitted with the wrong modifier will be denied.