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December 2016 Texas Medicaid Provider Procedures Manual

Section 6: Claims Filing : 6.2 TMHP Electronic Claims Submission : 6.2.5 Modifier Requirements for TOS Assignment : 6.2.5.3 Interpretations

6.2.5.3
For interpretations or professional components of laboratory, radiology, or radiation therapy procedures, use modifier 26. Using modifier 26 results in TOS I being assigned to the procedure.

Texas Medicaid & Healthcare Partnership
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