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Modifier 26 on 77001 and 76937

Our surgeon is performing services at a hospital as an out patient service. The ins denied both 77001 and 76937 stating that the surgeon could only bill the professional component, not the technical component. Can anyone offer any insight into this? Should the surgeon only bill the professional component when these services are done at the hospital?

Medical Billing and Coding Forum

77001 in a global period

Good afternoon.

Can anyone help with an issue I’m having? Female patient(s) in a global period for a mastectomy and about a month later presents for placement of a chemo-port (36561) with fluoroscopy (77001) to verify placement. The appropriate modifier is being appended to the 36561 and the -26 modifier is appended to 77001. The question is, does the 77001 need to have any modifier other than the -26 or -TC while in the global period? Our EHR/PM program is firing an edit stating a modifier is necessary within the global period and the only acceptable modifiers are 79,58,24,78. I have not been able to locate any information to support using one of these 4 modifiers with the fluoroscopy code.

Thank you in advance.
Josie

Medical Billing and Coding Forum