CommercialBilling CodesHigh impact
Claims & Best Practices
Blue Cross Blue Shield of Wyoming·WY · Radiology, Cardiology·Coding
Effective date
Mar 1, 2023
We identified it
Jun 19, 2026
Summary
BCBSWY will deny professional claims for diagnostic tests/radiology with modifier -TC in facility settings, and will deny professional component procedures incorrectly billed with -TC modifier. Additional reminders include requiring invoices for hearing aids and prior authorizations through Availity portal.
Action Required
Immediately: Billing team must update system to prevent billing diagnostic tests and radiology services with modifier -TC in inpatient/outpatient facility settings - facilities should bill technical components. Stop using -TC modifier on professional component only procedures like CPT 93010. Update encounter forms and billing edits. Always include invoices when billing hearing aids and ensure prior authorizations are submitted through Availity portal. Claims will be denied if these requirements are not met.