Medicare Claims Processing Manual (Pub. 100-04), Ch. 35 § 10.2.1

Global Billing

Last amended: 2019Year: 2019Length: 125 wordsOfficial source
10.2.1 – Global Billing (Rev. 4473, Issued: 12-6-19; Effective: 3-9-20; Implementation: 3-9-20) Global billing is acceptable when both the TC and 26 modifier are performed by the same entity and both the TC and the 26 modifier are furnished within the same Medicare Physician Fee Schedule (MPFS) payment locality. The TC and 26 may be furnished in different locations as long as they are furnished within the same MPFS payment locality. If the global diagnostic test code is billed, report the name, address and NPI of the location where the technical component was furnished in Items 32 and 32a (or the 837P electronic claim equivalent). See Pub. 100-04, chapter 1, §80.3.2.1.2 and 80.3.2.1.3 for more information regarding what is required in Items 32 and 32a.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 35 § 10.2.1: Global Billing | Justis AI