1. Tara Johnson
   Member
   Posted 2 years ago #
   

   If a Dr uses a hospital to perform EMG's, but otherwise does everything for procedure (performing, reading and interpretation), can we bill without modifier-26 if the hospital is also billing for the EMG?

2. Anonymous
   
   Posted 2 years ago #
   

   Hi Tara,

   When the hospital is billing for the EMG, is it not a fraud to bill for the technical compoent again? The equipments belong to the hospital which is billing for the technical component. Even if the doctor is performing, reading and interpreting, his services are limited to the professional component only, i.e. with a modifier 26.

3. Tara Johnson
   Member
   Posted 2 years ago #
   

   Thanks for your response. I guess I am a little foggy on technical components. I am used to surgery billing and we do not have to attach any modifiers when we do anything laparoscopic and use the hospitals scope. Thanks for your input. Do you know of any resources giving specific information on procedures that apply to technical components?

4. Anonymous
   
   Posted 2 years ago #
   

   Just see the fee schedule at Supercoder.com where it has the option to check if a Tc or 26 modifier is allowed for a CPT or HCPCS codes. Once you are there scroll down for this info, which you can find under the Global & Other Info option.

   http://www.supercoder.com/coders-toolkit/fee-schedule/

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