Professional component definition

Professional component means the performance of the professional component of the steps of the Assay, which is the interpretation of results (generated in the Technical Component) of an Assay by a pathologist, and is covered by CPT codes from the Professional Fee Schedule with the modifier “26”.
Professional component means the physician service component of a service or procedure that has both a physician service component and a technical component.
Professional component means the part of a proce- dure or service that relies on the physician's professional skill or training, or the part of a payment that recognizes the phy- sician's cognitive skill.

Examples of Professional component in a sentence

  • P = Professional component may be billed on appropriate claim form; all other components included in inpatient rate.

  • Professional component of clinical lab services is reimbursable only if ordinarily performed by the physician and directly contributes to diagnosis or treatment of an individual patient.

  • Mandatory – All mandatory data elements defined in the Implementation Guide must be submitted.b. Exception (Technical and Professional Component Charges) – For services where both a Technical and Professional component may be billed, the service should be billed to JVHL as follows: BILL CPT-4 CODES ON SEPARATE LINES WITH THE APPROPRIATEMODIFIERS: Example - 88305TC indicates the technical component is being submitted.

  • If a facility that furnishes the Technical component of RT services terminates its relationship with a participating PGP, then it may continue in the Model as long as it establishes a relationship with a new PGP that furnishes the Professional component of the RT services.

  • Providers must include the following modifiers, as appropriate, on the claim form:• 26 Professional component performed by a different provider than the technical component• TC Technical component performed by a different provider than the professional component• TH Multiple gestationsProviders may not include both the TC and 26 modifiers for a single procedure on the claim form.


More Definitions of Professional component

Professional component means the performance of the professional component of the assay steps of the Assay, and Collaboration Assays as agreed, which are covered by CPT codes from the Professional Fee Schedule with the modifier “26”.
Professional component means that part of laboratory or radiology service that may be provided only by a physician capable of analyzing a procedure or service and providing a written report of findings.
Professional component means the charges associated with a professional service provided to a patient by a hospital based physician. This component is billed separately from the inpatient charges.
Professional component means)) - The part of a procedure or service that relies on the provider's professional skill or training, or the part of that reimbursement that recog- nizes the provider's cognitive skill.
Professional component means that part of laboratory or radiology service that may be provided only by a physician capable of
Professional component means the cost of
Professional component means the physician service component of a service or