I’m new to an ASC facility and when it comes to x-rays (almost always performed along with a surgery), I am told that we code professionally with -26 modifier but don’t bill at all for the facility side. It was explained to me that x-rays are included in the global surgery package for facilities, so we will only get reimbursed for the professional side of it.

Is this correct? If so, can someone explain this further to me? I thought that for all x-rays if the facilities and doctors split bill, then the doctors append modifier -26 and facilities append modifier -TC and that both will get reimbursed. Or is this not the case when performed along with a surgery?

Thanks!