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Megan Bryan
#1 Posted : Tuesday, November 1, 2022 9:24:17 AM(UTC)
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Hello, wondering if when we do a Cone beam (70486) and send to another company for the reading - then would I use modifier 26 and add the fee for the reading to the Cone Beam fee?

Thank you
courtneydsnow
#2 Posted : Friday, November 11, 2022 12:06:33 PM(UTC)
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Hi Megan Bryan!

You would only need to split 70486 into the "technical component" (modifier TC) and the "professional component" (modifier 26) if the company/person performing the read/interpretation is separately billing the patient's medical insurance for the read/interpretation. Otherwise, if you are paying that company directly for the read, you would bill 70486 without those modifiers.

Hope this helps!
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