Medicare AdvantageBilling CodesHigh impact
MA03.011o, Modifiers 26 (Professional Component) and TC (Technical Component)
Independence Blue Cross·Radiology, Cardiology, Diagnostic Imaging +1 more·Medical Policy
Effective date
Jan 1, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA03.011o regarding modifiers 26 (Professional Component) and TC (Technical Component) has been updated, effective January 1, 2025. This affects how billing teams must apply these modifiers when splitting professional and technical components of services for Medicare Advantage plans.
Action Required
Immediately: Review and update billing procedures for modifier 26 (Professional Component) and TC (Technical Component) usage for all Medicare Advantage claims. Billing team must ensure compliance with updated MA03.011o policy requirements when splitting professional and technical components. Verify billing software applies correct modifier rules for services that can be split into components.