CPT code 93760 is used for a cephalic thermogram, a diagnostic procedure that measures temperature variations in the head.
CPT code 93760 is used to describe a cephalic thermogram, which is a diagnostic procedure that involves measuring the temperature distribution on the surface of the head. This non-invasive test is typically used to assess blood flow and detect abnormalities in the cranial region by capturing thermal images. The procedure can help healthcare providers identify issues related to vascular conditions or other disorders affecting the head.
For CPT code 93760, "Cephalic thermogram," the following modifiers may be applicable depending on the specific circumstances of the procedure:
1. Modifier 26 - Professional Component: This modifier is used when only the professional component of the service is being billed. It indicates that the provider is billing for the interpretation of the thermogram results rather than the technical component.
2. Modifier TC - Technical Component: This modifier is used when only the technical component of the service is being billed. It indicates that the provider is billing for the use of equipment and the performance of the thermogram, excluding the interpretation.
3. Modifier 59 - Distinct Procedural Service: This modifier is used to indicate that the procedure is distinct or independent from other services performed on the same day. It may be necessary if the cephalic thermogram is performed in conjunction with other procedures that are not typically reported together.
4. Modifier 76 - Repeat Procedure by Same Physician: This modifier is used when the same procedure is repeated by the same physician on the same day. It indicates that the procedure was necessary to be performed more than once.
5. Modifier 77 - Repeat Procedure by Another Physician: This modifier is used when the same procedure is repeated by a different physician on the same day. It indicates that the procedure was necessary to be performed more than once by different providers.
6. Modifier 91 - Repeat Clinical Diagnostic Laboratory Test: Although primarily used for laboratory tests, this modifier can be applicable if the thermogram is repeated for clinical reasons on the same day to obtain additional information.
These modifiers help clarify the billing and ensure accurate reimbursement by providing additional context about the service performed. Always verify with the latest coding guidelines and payer-specific policies to ensure correct usage.
CPT code 93760, which pertains to a cephalic thermogram, is not reimbursed by Medicare. This code is not included in the Medicare Physician Fee Schedule (MPFS), which outlines the payment rates for services covered by Medicare.
Additionally, Medicare Administrative Contractors (MACs), who are responsible for processing claims and determining coverage at the regional level, do not typically provide reimbursement for this code.
As such, healthcare providers should be aware that services billed under CPT code 93760 may not receive payment from Medicare, and alternative billing strategies or patient payment options may need to be considered.
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