What is “26 modifier used for” in medical billing?

26 Modifier in Medical Billing

The 26 modifier is used to bill only for the professional component of a service or procedure.

26 Modifier in Medical Billing Explained

When a procedure includes both a technical and professional component, the 26 modifier is used to indicate that the provider is only billing for the professional part, such as the interpretation of results. The technical component, such as the use of equipment, is billed separately.

For example, a radiologist uses the 26 modifier when billing for interpreting an X-ray, while the facility bills for the equipment use.

Learn more about common acronyms and abbreviations in Medical billing glossary.

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