Modifier -26 Professional Component
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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