0123-Techincal Component (TC) of Diagnostic Procedures during an Inpatient Stay
When billed on the same date of service as an inpatient hospital claim, the Technical Component (TC) of diagnostics is not payable to the Part B provider. The technical component is performed by the facility while a patient is in a covered Part A Inpatient Stay.
CPT Code Range 10000-99999 (Excluding CPT Codes 70000-89999) with PC/TC Indicators of 1 and 3
Applicable Policy References
Social Security Act: Section 1833
CMS Pub. 100-04, Medicare Claims Processing Manual, Chapter 23, Addendum-MPFSDB File Layouts, 2011-2018 File Layout
CMS Pub. 100-04, Medicare Claims Processing Manual, Chapter 23, Section 30
CMS Pub. 100-02, Medicare Benefit Policy Manual, Chapter 15, Section 30.1