TMPPM 2010 > Volume 1, General Information > Section 6: Claims Filing > TMHP Electronic Claims Submission > Modifier Requirements for TOS Assignment > Technical Components

   
 

6.2.7.4 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 rate.

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

77401

77402

77403

77404

77406

77407

77408

77409

77411

77412

77413

77414

77416

77417

93005

93017

93041

93225

93226

93231

93232

93236

93721


Texas Medicaid & Healthcare Partnership
CPT only copyright 2009 American Medical Association. All rights reserved.
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