Wiki 59 or 76?

[zaidaaquino]

When billing two separate lines of G6015/1 unit each for Medicare due to A.M. treatment and P.M. treatment, what is the proper modifier for the P.M. treatment? Is it a -59 or -76 modifier?

Line 1 G6015 (morning treatment
Line 2 G6015 (59 or 76) (afternoon treatment)

Thanks.

 

[greatbiller]

I would use modifier XE, to indicate a separate session.

 

[mitchellde]

76 is for a repeated procedure in a different session on the same day
XE is for a procedure that would otherwise bundle into the other procedure but is allowable to unbundled due to separate session.
I think 76 works better here but I do not see a problem with either one. I do know that the 76 will bypass the discounting, I am not certain the XE does although logic says it should.

 

[heatherhoote@hotmail.com]

I agree

76 is for a repeated procedure in a different session on the same day
XE is for a procedure that would otherwise bundle into the other procedure but is allowable to unbundled due to separate session.
I think 76 works better here but I do not see a problem with either one. I do know that the 76 will bypass the discounting, I am not certain the XE does although logic says it should.

I agree