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December 2016 Texas Medicaid Provider Procedures Manual

Radiology and Laboratory Services Handbook : 3 Radiological and physiological laboratory services : 3.4 Claims Filing and Reimbursement : 3.4.1 Claims Information : 3.4.1.2 Modifier Requirements for Type of Service Assignment

3.4.1.2
For the radiology, physiological lab, and X-ray procedures in this chapter, providers must bill modifier 26 for the interpretation component or modifier TC for the technical component. No modifier is necessary for the total component.
Refer to:
Subsection 6.2.5, “Modifier Requirements for TOS Assignment” in Section 6, “Claims Filing” (Vol. 1, General Information).
Subsection 6.3.2, “Type of Service (TOS)” in Section 6, “Claims Filing” (Vol. 1, General Information).

Texas Medicaid & Healthcare Partnership
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