Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

Botox injection incident to the physician billing

Luz Posted Tue 31st of March, 2015 14:10:33 PM

If a fellow performs Botox injections (example CPT: 64616) on a Medicare or private-insurance patient under the attending's supervision, can that service be billed as incident to the supervising physician service. Are there any special documentation requirements for compliance in this type of procedure?

SuperCoder Answered Wed 01st of April, 2015 03:23:43 AM

GC modifier should be billed with the procedure code to indicate that the service was performed by the physician in the supervision of the attending physician.
Hope this information will be helpful.

Luz Posted Wed 01st of April, 2015 08:04:19 AM

First thank you for the reply. I would like to add, do we still have to put the GC modifier when the service is done in the office. The fellows are under a fellowship program.

SuperCoder Answered Thu 02nd of April, 2015 05:24:08 AM

Yes, you would still have to put the GC modifier when the service is performed in the office.

Related Topics