Whats the difference between the professional and technical coponents of radiological services

Jun 5th, 2011 -

re: Whats the difference between the professional and technical coponents of radiological services

Technical is the performance of the test, professional is the interpretation of the test

Jun 6th, 2011 -

re: Whats the difference between the professional and technical coponents of radiological services

All the radiological services are inherent of both Technical and Professional component.

Professional Component is billed by the Physician with the modifier 26.

Technical component for the same CPT® is billed by Hospital with modifier TC.

Jun 22nd, 2011 -

re: Whats the difference between the professional and technical coponents of radiological services

TC is billed by whomever owns the equipment. It doesn't have to be in a hospital setting. A physician could own their own equipment, or let other docotrs use it in his office- live an MRI machine.

26 is billed by the doctor who performs the interpretation and report portion of the service.

Jul 1st, 2011 -

re: Whats the difference between the professional and technical coponents of radiological services

Thanks for the info! I have one further question. If the physician DOES own the equipment, does he bill for both the professional AND the technical component? Would the CPT® code be split, billed once with each modifier (e.g. 76942,TC and 76942,26)? Or would the CPT® simply be billed as is, with no modifiers?

Thanks in advance!

Jul 5th, 2011 - rphelps 615 1

re: Whats the difference between the professional and technical coponents of radiological services

If physicians owns equipment and also does the interpretation then bill one code. The only payor I split with TC and 26 is Medicare.