How do I pay bills where there are professional and technical components (PC/TC)?
In radiology, pathology and laboratory, and physical medicine, a doctor may bill for the professional component (modifier PC or 26) and a facility may bill for the technical component (modifier TC). A technician may take a x-ray, for example, and a radiologist would read it. Most of the time, each component is billed separately. When possible, we calculated a fee for each component. If a dollar amount appears under the appropriate PC/TC column, that represents the maximum payment for that component. If we didn’t have enough data to calculate a fee, by law the schedule defaults to POC76, which means to pay 76% of the charged amount. A bill for either component should be paid at 76%. For example, the maximum 2008 fee for a chest scan (71275) in geozip 600 is $298.96 for the professional component and $1,195.82 for the technical component. In geozip 609, the default of POC76 is used. If a component is billed separately, it should be paid at 76% of the charged amount. The PC/TC columns, wh
