Wiki 94640 > 76 Modifier

[ellie.ware]

My facility wants me to bill for only one HCPC 94640, regardless of the Charge Code 10142 or 10126, multiple treatments on same DOS, it just seems like a loss of revenue. why not append with a M76?

 

[mitchellde]

Are meaning that more than 1 treatment is rendered to this patient on a single DOS?

 

[ellie.ware]

Yes, that is correct - multiple treatments on same DOS

 

[mitchellde]

there should be no problem with bill multiple lines using the 76 modifier as long as documentation supports that there was a provider reassessment in between the treatments. This is what supports that each treatment was performed at a different time instead of all in the same period of time. Now if the provider never leaves the room and multiple treatments are delivered back to back with no reassessment then it would be correct to bill only for 1.