CPT Code Essay

Often times the CPT code contains two portions a professional component and a technical component. The professional component of the code is the diagnostic service or procedure that is provided by the physician and may include supervision, interpretation, and a written report. The technical component of the code is for equipment, supplies, and clinical staff-technicians. Payment for the technical component includes practice expenses, malpractice expenses and when the technical component is reimbursed to the practice or the facility and those fees pay for equipment, supplies and clinical staff (Verhovshek, J. (2015, August 14). The professional component of CPT coding provided by the physician includes supervision, interpretation, and a written report. To claim only the professional services provided by a physician the CPT Appendix A (“Modifiers”) will instruct the biller to append the modifier 26, professional component, to the appropriate CPT code. The Modifier 26 is appropriate when the physician supervises and interprets a diagnostic test, even when they do not perform the test personally. Example- a physician that is not employed at a radiology clinic that has performed a chest x-ray interprets the results of the films. The x-ray clinic will would bill the insurance company for the actual x-ray; 71010-TC, Radiologic examination, chest, single view, frontal-technical component and then the physician who …show more content…
(2015, August 14). A Quick Guide to Modifiers 26 and TC. Retrieved July 27, 2016, from https://www.aapc.com/blog/31587-a-quick-guide-to-modifiers-26-and-tc/
Verhovshek, G. J. (2015). RADIOLOGY BILLING AND CODING. PROFESSIONAL AND TECHNICAL COMPONENTS. Radiology Today, 16(11), 7-7 1p.
Knowing the difference between global, professional, and technical charges. (2012, May 31). Retrieved July 27, 2016, from