We have billed the following procedures in the following format: 17262, 17262 51-76, 17262 51-76, 17262 51-76. CMS pays the procedures 1 and 2 and rejects the last two. We appeal with records and they reject again as a duplicate. We call and a representative states change the units. Fast forward to billing same procedures for another patient to Anthem. Anthem rejects and states inappropriate coding. Provider must use appropriate modifiers for multiple procedures. They stated that 76 modifier states that it is a duplicate procedure for same body part and it was not. This is in the 3rd appeal as we have sent the records twice. We are now going to send the records again with a copy of the CPT coding guidelines for the modifier which does NOT state duplicate procedure for same body part. Appeals sent it back to claims review stating that it was not coded correctly to which claims review denied for inappropriate coding. Has anyone else run into the issue of carriers rewording the guideline and denying?? Thanks in advance for ANY help!