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Correction to 2019 CPT Annual Update

January 16, 2019

A previously published Medi-Cal Update that added, changed and deleted CPT codes for the 2019 annual update, effective January 1, 2019, did not contain the following policy for CPT codes 76391, 76978, 76979, 76981, 76982 and 77046 – 77049:

CPT codes 76978, 76979, 76981 and 76982 are split-billable and should be billed with modifier TC when billing only for the technical component, and modifier 26 when billing only for the professional component. Modifier 99 must not be billed in conjunction with modifier 26 or modifier TC. The claim will be denied.

CPT codes 76391 and 77046 – 77049 must be billed with modifiers TC or 26.

This policy is reflected in the 2019 CPT Policy Updates PDF.