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Wiki CPT 35656 modifier

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Partha

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The only CPT billed is 35656, payer is asking for missing modifier. Laterality modifier LT already used. Any suggestions?
 
Is the patient already in a global period? Perhaps they are looking for a 78 or 79? Or maybe the patient has already had this procedure in the past and they are looking for a 76 or 77? Just a couple of other factors to consider.
 
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