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gpjmommy2

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Last seen: Apr 7, 2011

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gpjmommy2

Apr 3, 2011

Hi I need a little help if anyone can help me out? When is the right time to use the 76 modifier? I have a situation where the surgeon did 2 different procedures with 2 seperate incisions but the codes are the same (almost) for both procedures and the dx is the same.

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Thilvenkat

In order to let the payer know that your clinician repeated the procedure, you will have to append the modifier 76 (Repeat procedure or service by the same physician or other qualified health care professional) to the second unit of the code that you are reporting. This should not only allow you to get 100% reimbursement for the repeat procedure, it should also restart the global period for the procedure.

Aug 2, 2019
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