Specific Instructions for Filing Claims Subject to Anti-Markup Limitation Providers may not submit a global billing or total component code on paper or electronic claims when one component of the service is subject to the anti-markup limitation. To determine the...
Multiple Procedure Reduction on the TC of Certain Diagnostic Imaging Procedures Effective January 1, 2006, a multiple procedure reduction of the TC of certain diagnostic imaging procedures applies. The reduction applies to TC-only services and the TC portion of global...
Cost Sharing (Copayment) Copayment amount does not apply to services provided by Independent Radiology providers. Time Limit for Filing Claims. Medicaid requires all claims for Independent Radiology providers to be filed within one year of the date of service. Refer...
Multiple Claims Medi-Cal reimburses for only one interpretation of an individual X-ray procedure performed on a patient. Reimbursement is allowed for only one technical component (modifier TC) and only one professional component (modifier 26) for each individual...
