WA · guidance
Wash. HCA Hospice Services Billing Guide, Who can bill for professional services?
Who can bill for professional services?
HCA reimburses for professional services only when they are billed by one of the
following:
• Primary physician
• Hospice agency (using Hospice Clinic National Provider Identifier (NPI))
• Consulting physicians or those providing backup care for the primary
physician. (consulting physicians must be coordinated with the hospice
agency)
• Radiologist/laboratory
When billing for the professional component, include modifier 26 in Modifiers
field on electronic professional claim, along with the appropriate procedure code.
(See #1 or #2 below, as applicable.) Charges for the technical component of these
services, such as lab and x-rays, are included in the hospice daily rate and may
not be billed separately.
Provenance
- Source
- www.hca.wa.gov
- Retrieved
- 2026-10-02
- Edition
- hca-hospice-bg-2026-05-19
- Content hash
6c497930b2afc376d687fd211291e253d4d22ecf918c31c6d552d9aa7f29c7e7
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