decisionhealth Newsletters, Coder Pink Sheets - 2004 Issue 4 (April)
Reporting -26 Modifier with 91110
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Article Overview
This article reviews a coding and billing question involving capsule endoscopy and the physician component of the service. It is aimed at medical coders, GI practices, hospitals, and billing staff who need to understand how the article addresses CPT reporting, facility-versus-professional billing, and the transition from earlier codes used before 2004.
Why This Topic Matters
Correct reporting for imaging services can depend on whether the professional component, technical component, or global service is being billed. This article is relevant because it discusses a specific CPT code, a modifier commonly used for physician services, and prior temporary codes that may affect historical claims or audit review.
What You Will Learn
- The article’s focus on capsule endoscopy billing and the physician interpretation component.
- How the discussion relates to CPT reporting and professional-versus-technical billing.
- Which earlier codes were used before the permanent code took effect.
- Why the topic may matter to GI practices, hospitals, and coding staff.
Who Should Read This
- Medical coders
- GI practice billers
- Hospital billing staff
- Physicians
- Compliance staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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