• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki difference between 76 and 91 modifiers

prem_ponnuru

Networker
Messages
77
Best answers
0
Hi All,

Can we use modifier 76 if a pathology laboratory service is repeated? can anybody explain me the difference between 76 and 91 modifiers.

Any help is greatly apreciated.

Prem, B.Pharm;CPC
 
it is my understanding that mod -91 is/should be used for repeat lab/path testing....since sometimes it is necessary to repeat the same lab test on the same day to obtain multiple/additional test results. but also, you can NOT use this modifier to rerun or confirm initial results or if there were testing problems.

for mod -76 this is typically used for a repeat pricedure/service by the same physician(non-lab related)

these are both summarized/explained in appendix A of the CPT manual....:D

in your case, you should be appending modifier -91 instead of -76 since it is a lab/path repeat
 
Top