PFS PC/TC Indicator Descriptions
See also
Other PFS Helpers:
switch_assistant_surgery(),
switch_bilateral_surgery(),
switch_co_surgeon(),
switch_diagnostic_imaging(),
switch_global_days(),
switch_multiple_procedure(),
switch_opps_indicator(),
switch_status_description(),
switch_status_name(),
switch_supervision(),
switch_team_surgery()
Examples
switch_pctc_indicator(as.character(0:9))
#> [1] "Physician Service: PC/TC does not apply"
#> [2] "Diagnostic Tests for Radiology Services: Have both a PC and TC. Mods 26/TC can be used."
#> [3] "Professional Component Only: Standalone code. Describes PC of diagnostic tests for which there is a code that describes TC of diagnostic test only and another code that describes the Global test."
#> [4] "Technical Component Only: Standalone code. Mods 26/TC cannot be used. Describe TC of diagnostic tests for which there is a code that describes PC of the diagnostic test only. Also identifies codes that are covered only as diagnostic tests and do not have a PC code."
#> [5] "Global Test Only: Standalone code. Mods 26/TC cannot be used. Describes diagnostic tests for which there are codes that describe PC of the test only, and the TC of the test only. Total RVUs is sum of total RVUs for PC and TC only codes combined."
#> [6] "Incident-To: Mods 26/TC cannot be used. Services provided by personnel working under physician supervision. Payment may not be made when provided to hospital inpatients or outpatients."
#> [7] "Lab Physician Interpretation: Mod TC cannot be used. Clinical Lab codes for which separate payment for interpretations by laboratory physicians may be made. Actual performance of tests paid by lab fee schedule."
#> [8] "Physical Therapy: Payment may not be made if provided to hospital outpatient/inpatient by independently practicing physical or occupational therapist."
#> [9] "Physician Interpretation: Identifies PC of Clinical Lab codes for which separate payment made only if physician interprets abnormal smear for hospital inpatient. No TC billing recognized, payment for test made to hospital. No payment for CPT 85060 furnished to hospital outpatients or non-hospital patients. Physician interpretation paid through clinical laboratory fee schedule."
#> [10] "PCTC Concept does not apply"