What is the example for modifier 26?

Examples of when to use modifier 26: A pregnant patient presents to the ER with premature contractions. The ultrasound performed in the hospital detects abnormalities in the pregnancy. The patient is referred to a specialist for follow-up, and the hospital imaging report is sent with the patient for further review.

What procedure is 93306?

CPT code 93306 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography describes a complete transthoracic echo with Doppler and color flow.

How Much Does Medicare pay for 93306?

The current national Medicare payment for 93306 is $229 physician office, $427 HOPD. The current National Medicare payment for 93307 + 93320 + 93325 is $213 physician office, $427 HOPD.

Does Medicare pay for modifier 26?

Simply Medicare Advantage does not allow reimbursement for use of Modifier 26 or Modifier TC when it is reported with an evaluation and management code.

What is place of service code 26?

Database (updated September 2021)

Place of Service Code(s) Place of Service Name
24 Ambulatory Surgical Center
25 Birthing Center
26 Military Treatment Facility
27-30 Unassigned

Can modifier 26 and Tc be billed together?

Do not report modifiers 26 and TC on the same procedure code on one line of service. Modifier 26 and TC are payment modifier reportable in the first modifier field. These modifiers would change the reimbursement.

What do the results of an echocardiogram mean?

The resulting image of an echocardiogram can show a big picture image of heart health, function, and strength. For example, the test can show if the heart is enlarged or has thickened walls. Walls thicker than 1.5cm are considered abnormal. They may indicate high blood pressure and weak or damaged valves.