Claim Editing Overview: Professional and Technical Components – Professional

As a reminder, a global diagnostic procedure code includes reimbursement for both the professional (26) and technical components (TC). Therefore, according to BCBSGA policy, when both components are performed by the same provider, the appropriate code must be reported as a global service without the 26/TC modifiers. This will ensure proper reimbursement for the global diagnostic procedure performed. Effective with dates of service on or after January 1, 2018, they will be updating their policy to indicate that when the professional and the technical component of a global diagnostic procedure are performed by the same provider or an associate provider in the same practice for the same patient, the service must be reported as a global procedure.

Source: https://www11.bcbsga.com