The modifiers OB billing runs on
The short answer
Five modifiers do most of the work in OB billing: 95 flags synchronous telehealth, 25 defends a significant same-day E/M, 59 separates distinct procedures, and 26/TC split imaging into professional and technical components.
Source: NCCISource: CPT 2026
Modifier 95: Telehealth Billing Explained Append to real-time audio-video visits to flag synchronous telehealth. Mod 95 Modifier 25: Same-Day E/M With a Procedure Flags a same-day E/M as separately identifiable from the procedure billed with it. Mod 25 Modifier 59 and the X Modifiers: Distinct Procedural Services Bypasses bundling edits when services were truly distinct; X modifiers say why. Mod 59 Modifiers 26 and TC: The Professional/Technical Split 26 bills the interpretation, TC bills the equipment and staff; unmodified means both. 26 · TC Modifiers 76 and 77: Repeat Procedures Same service repeated same day: 76 for the same provider, 77 for a different one. 76 · 77