Wiki Do I need modifier 76?

gpjmommy2

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Do I need the 76 modifier on the 2nd procedure? Both were done on the same day, by the same dr but different incisions. The same dx codes apply for both...
1st procedure:
63303
63047- 51, 59
63048 x 2
63056-51
63277-51
22612-51
22614x3
20225-51,59
22524-51,59
22842
72291-26
20930-59

2nd procedure:
63046-59
63048-51,59
63276-59
20225-59
20225-51,59
20930-59
20936-59
76001-26
22523-59
22610-51-59
22614x2-59
22840-59

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76 is for a repeated procedure . To be repeated it must be the exact same procedure repeated in a different setting. the same procedure performed on a different location is not repeated, so no you do not use it. FYI when using the 51 and the 59 together always sequence the 59 first. As far as whether the codes or modifiers selected on this case, without an op note I cannot say whether they are correct or not. I am answering generically on appropriate use of the 76 modifier.
 
Thanks Debra

I really do thank you; I know which ones needed the 51 & 59 because I ran them thru Encoder.Pro expert & I do sequence them 59-51 when I am listing them for billing. I truly thought that was what the 76 was for, but you know sometimes it can just escape your brain when you don't use it. Thanks so much!
 
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