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Thread Topic: Medicare fee schedule
Topic Originator: David Cooper
Post Date March 22, 2005 @ 10:21 AM
Medicare fee schedule


David Cooper
March 22, 2005 @ 10:21 AM Reply  |  Email Friend   |  |Print  |  Top

Does the Medicare fee schedule apply to Radiologists only or to the technicians as well?

Admin
March 22, 2005 @ 11:32 AM Reply  |  Email Friend   |  |Print  |  Top

The fee schedule allows for separate payment of the technical and professional component of a radiology procedure. The Medicare fee schedule rate for a radiology CPT code multiplied by the TWCC mutiplier (125%), includes both the technical component and the professional component of the service. However, in general, radiology codes can be billed separately and reimbursed for just the technical component (provision of actual radiology service) or the professional component (reading of film) by use of the correct modifiers (TC or 26).



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