Tina Posted Fri 20th of February, 2015 16:41:06 PM
If a MFM practice takes their portable US machine to the hospital to perform scans on hospital inpatients, they should still use mod 26 correct? It is their machine from their office along with their ultrasound tech but since the patient is inpatient I didn't think they could bill for the full global charge. Any advice would be greatly appreciated.
SuperCoder Answered Wed 25th of February, 2015 05:31:50 AM
Thank you for the query.
Full global charge can be billed. Both the technical service (portable ultrasound machine) and professional service were performed by the MFM practice and hence they can bill for the global service. No technical service was provided by the hospital in this case.
Tina Posted Fri 27th of February, 2015 15:40:11 PM
Thank you for your help! We have been getting denials and have sent records indicating this was our epuipment but we are still being denied. I am getting conflicting information as to if this can be done, is there a Medicare rule that indicates this should still be billed with mod 26?
SuperCoder Answered Mon 02nd of March, 2015 06:36:40 AM
Thank you for the follow up.
Following your query, further research was performed which revealed that Medicare does not pay the technical component to hospital-based practioners (but non-hospital-employed practitioners), even if the practitioners own the equipment, provide the supplies, and their personnel perform the technical service.
I hope this information will be helpful.