Separate Technical and Professional Component Billing

10.2.2 –Separate Technical and Professional Component Billing (Rev. 4473, Issued: 12-6-19; Effective: 3-9-20; Implementation: 3-9-20) When the TC and 26 modifier are billed separately (not billed globally), report the name, address and NPI of the location where each component was performed. If the billing provider has an enrolled practice location at the address where the service was performed, the billing provider/supplier may report their own name, address and NPI in Items 32 and 32a (or the 837P electronic claim equivalent). If the professional component service was performed at an unusual or infrequently used location, the location of the provider’s/supplier’s closest Medicare-enrolled practice location may be used in Item 32. The NPI in Item 32a must correspond to the entity identified in Item 32 (no matter if it is the group, hospital, the IDTF, or the individual physician). The only exception for Medicare claims is when a service is performed out of jurisdiction and is subject to the anti-markup or a reference lab service. See Pub. 100-04, chapter 1, § 30.2.9 and chapter 16, §40.1 for instructions specific to anti-markup and reference lab, respectively. 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.