10/18/2017

Clarification Regarding Global Services-PC and TC Components

For the CPT 93923 Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries. Can Dr Mathews bill CPT 93923 globally for the TC component and the reading component, and have a HIPAA Business Associate Agreement with a vascular Dr that will bill us for reading the test?

Billing globally for services that are split into PC and TC components is only possible when the TC and the physician who provides the PC of the diagnostic service are furnished by the same physician or supplier entity and the PC and TC components are furnished within the same MPFS payment locality. Merely applying the same POS code to the PC as that of the TC does not permit global billing for any diagnostic procedure.