Erica, I have always wanted to ask you a question regarding the addition of modifier 59. In case there is a procedure which has a technical component to it and it is bundled with another procedure on the same day and we do have a TC modifier in the first modifier column in the 1500. Now the insurance needs you to add modifier 59. Do we add this in the second modifier field or the first...

Also why do insurance companies not reckon technical component by itself seperate from a professional component performed that day. For instance a daily treatment in Radiation oncology which is a technical component. The patient also had a chemo treatment on the same day.