This modifier is used only for the professional component (physician) of a
service or a procedure. Certain procedures are a combination of both
professional and technical component. By using modifier 26, it indicates that
procedure being reported as professional component only.
Professional Component versus the Technical Component. By illustration,
procedures rendered at a facility such as outpatient hospital or ASC, these
equipments are facility-owned. The facility will then report the technical
component for such service while the physician will report the professional
component for the that procedure. One very good example, the physician
performs Paravertebral Facet Block under Fluoroscopic guidance using
CPT code 77003. The physician will report the fluoro with modifier 26 for
his/her professional component. While the facility will report the the same
procedure with modifier -TC for the technical component.
Modifier -LT or -RT are used to indicate a Left or Right side or anatomical
site. So if the pain specialist performed Left Cervical Facet Block, you will
append a modifier -LT to report this procedure.
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