Modifiers 76 and 77 reported on the same line

nak2003

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Hello,
I am just wondering if modifier 76 and 77 can be reported on the same line to indicate the relationship between multiple ECGs performed by the same/different providers: 93010-76-77 ?
Thank you,
N.I-K
 

mitchellde

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You do not report repeated procedures on one line with multiple units, so you would never use both the 76 and 77 on the same line.
 

nak2003

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Thank you for your response. But I would like to clarify my question: can we bill 93010/77/76 with number of units one if there are for example 2 ECGs performed by Dr. A and 2 services by Dr.B?
Should we bill Dr A services as
93010
93010/76/77

and Dr B services as
93010/77
93010/77/76

Or modifier 76 and 77 should never be used together on the same service line ?

Thank you
 

espressoguy

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I would code this as:

Dr. A - 93010, 93010-76
Dr. B - 93010-77, 93010-77

Although Noridian wants multiple same day, same provider EKGs billed on one line so if that's the case then:

Dr. A - 93010x2
Dr. B - 93010-77x2
 

daedolos

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I would code this as:

Dr. A - 93010, 93010-76
Dr. B - 93010-77, 93010-77

Although Noridian wants multiple same day, same provider EKGs billed on one line so if that's the case then:

Dr. A - 93010x2
Dr. B - 93010-77x2

I like scenario 2. Would usage of XP be considered?

Peace
?_?
 

daedolos

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what if Dr. A billed the 93010 3x, Billed it as

93010
93010/76
93010/76
all paid but one as it denied as duplicate.
what mod would be added to separate the 2 px so they don't dup?
On that second 93010/76 line, you could append modifier 59 and also attached medical records supporting your claim and this should allow the bill to be reconsidered.

Peace
@_*
 
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