Wendy Posted Tue 26th of February, 2019 17:39:21 PM
My provider is using a 3rd party vendor to process the 3D rendering. I contacted the vendor and was told that because the FDA approved the software and the provider is verifying the volumes that is was ok to bill the 76377. My problem is the code requires concurrent supervision. Is it true we can bill for 76377 if done at a 3rd party vendor location?
SuperCoder Answered Wed 27th of February, 2019 03:11:45 AM
As per guidelines, there are instances where one provider supervises the radiology service and another provider interprets it. According to Medicare guidelines, each provider should report the radiology code and append reduced service modifier 52. Each should also append modifier 26 to the code to report only the professional component.
If you are reporting only the professional component for the service, you should append professional component modifier 26 to the code.
If you are reporting only the technical component for the service, you should append technical component modifier TC to the code unless the hospital provided the technical component. In that case, do not append modifier TC because the hospital’s portion is inherently technical.
Do not append a professional or technical modifier to the code when reporting a global service in which one provider renders both the professional and technical components.