Having a problem getting D&E paid, anyone have success getting more than one paid on the same patient when they are done several days apart? I am using the 78 modifier with the code 59812, but a different doctor did the surgery the second time. Not sure why they are not paying, they say it goes against the CMS guiidelines? Is this true even with 2 different providers? Should I use a different modifier? Any help would be appreciated I am kinda new to this, thanks!