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Technical-only services

Technical-only services are those that stand alone and describe only the technical part of a given procedure. Technical-only procedures in an inpatient hospital, outpatient hospital, emergency department or ambulatory surgical center are not separately allowed. The facility in these settings handles and bills the technical part of diagnostic tests and radiology services.

For example, CPT code 92586 is for the performance of a newborn hearing screening, which is a technical-only service. We will deny claims billed by physicians or other providers as included in the facility’s reimbursement. You should not balance bill members for these services.