Closed reduction, x2, Same Day ?

[Sara82]

I have a case where the Dr consulted the patient in the ER and performed a closed reduction in the ER. Followup x-rays done after completion of this, however, showed
continued fracture dislocation for which decision was made to
then proceed to to the OR for a deeper sedation and another completion of the closed reduction. The physician performed both these reductions on the same day.
How would I code for this? Could I code for only one procedure even though he actualyl performed both in two different settings? And if I can bill for both, what modifier would be appropriate?

[mitchellde]

you code for both with a 76 modifier on the second. This is a perfect example of a repeated procedure.

[Sara82]

Ah of course. Thanks so much for your help!