Intent is everything.
You’re coding for the always confusing Modifier 26, you don’t have a lot of time for research, but accuracy matters to you and your organization. What’s an auditor to do? The answer: Grab your favorite cheatsheet.
Our cheatsheet covers all of the important elements of Modifier 26. Like how it’s only used when the professional component is being billed and certain services combine both the professional and technical portions in one procedure code.
It simply explains that the PC (Professional Component) is the supervision and interpretation portion of the procedure and includes indirect practice and malpractice expenses related to that work. And that the total RVUs (Relative Value Units) for codes reported with a 26 modifier include values for physician work, practice expense, and malpractice expense. Modifier 26 is used when a physician interprets but does not perform the test. Easy peasy, right?
Download The Only Modifier 26 Cheatsheet You’ll Ever Need for free and hang it somewhere in your office for moments when you need a little clarification and don’t have time for tedious research. The cheatsheet covers:
- Modifier 26 with a Correct Coding Initiative
- Acceptable Use: When to Use Modifier 26
- When Not to Use Modifier 26