Angela Posted Thu 04th of April, 2013 18:49:21 PM
Angela Posted Thu 04th of April, 2013 18:50:55 PM
I NEED TO KNOW IF THE DR. HAS SOMEONE COME INTO THE OFFICE TO DO TESTING AND WE HAVE A RADIOLOGIST READ THE TEST AND PAY THEM DIRECTLY FOR THE READ DO WE BILL A GLOBAL OR TC MODIFIER OR 26 MODIFIER?
SuperCoder Answered Fri 05th of April, 2013 13:56:37 PM
Purchased Diagnostic Tests – A physician or medical group may submit claims and (if assignment is
accepted) receive the Part B payment for the technical component of diagnostics test which the physician
or group purchases from an independent physician, medical group, or other supplier (this does not
include clinical diagnostic laboratory tests). In order to purchase a diagnostic test, the purchaser must
perform the interpretation.
Complete Item 20 of the CMS-1500 claim form when billing for diagnostic tests subject to purchase price
limitations. Enter the purchase price under charges if the “yes” item is checked. A “yes” check indicates
that an entity other than the entity billing for the service performed the diagnostic test. A “no” check
indicates that “no purchased tests are included on the claim”. When “yes” is annotated, Item 32 of the
claim form must be completed.
When billing for purchased diagnostic tests the provider of service must identify the supplier’s name,
address, zip code, and NPI in Item 32 of the claim form.