TMPPM 2008 > Provider Information > Claims Filing > TMHP Electronic Claims Submission

   
 

5.2.5.4 Technical Components

For technical components of laboratory, radiology, or radiation therapy procedures, use modifier TC. Using this modifier results in TOS T being assigned to the procedure.

Exception: Outpatient hospitals do not include the TC modifier when they provide technical components of lab and radiology services. These services automatically have TOS 4 or 5 assigned and are subject to the facility's interim reimbursement rate or the clinical lab fee schedule.

Additionally, the following procedure codes do not require a modifier for TOS assignment and are processed automatically as a technical component with a TOS T:

Procedure Codes

T-77401

T-77402

T-77403

T-77404

T-77406

T-77407

T-77408

T-77409

T-77411

T-77412

T-77413

T-77414

T-77416

T-77417

T-93005

T-93017

T-93041

T-93225

T-93226

T-93231

T-93232

T-93236

T-93721

T-95824


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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