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I HAVE A PATIENT WHO RECEIVED SHOULDER SURGERY BY MY GEN. ORTHO SURGEON, AND NOW HAS RECEIVED SPINE SURGERY FROM MY SPINE SPECIALIZING DOC.... WITHIN THE GLOBAL OF HER SHOULDER SURGERY...WHAT IS THE BEST MODIFIER I CAN USE TO DESCRIBE THIS?? 79 STATES UNRELATED BY SAME PROVIDER AND 77 STATES REPEAT PROCEDURE BY ANOTHER PROVIDER....WHAT AM I MISSING?? 