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Q: Research the difference between the Technical Component and Professional Component and how each affects the reimbursement from the insurance carrier(s).
A: Some procedure codes in the 70000, 80000, 90000, and G series are a combination of a professional component and a technical component. [ Therefore, these codes may be billed one of three different ways; (1) as a global, (2) as a professional component, or (3) as a technical component. NOTE: Not all providers are allowed to bill any or all of the three ways to bill. Specific coverage questions
should be addressed to the Provider Assistance Center. Professional component, the provider does not own or operate the equipment. The provider reviews the results, and provides a written report of the findings.Technical component, the provider must own the equipment, but does not review and document the results. The technical component charges are the facility’s charges and are not billed separately by physicians. The technical component is billed by adding modifier TC to the procedure code. The technical component can only be billed by facilities . ]
Expert answered|bongche|Points 3025|
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Asked 8/31/2012 7:17:55 PM
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