Wiki Xp, 76 & 77

[mtmiddleton]

Looking for clarification regarding the use of these modifiers. When to use XP instead of 77? We we're told to use XP for same physician, different physician and same procedure, a bit confused because its not right from the descriptions of these modifiers. Thank you in advance.

 

[cgaston]

XP - a service is performed by a different provider during the same surgical session

76 - the same provider returns the patient to the operating room to repeat a procedure

77 - a different provider returns the patient to the operating room to repeat a procedure

 

[thomas7331]

Just to add some clarification to the previous post, these modifiers are not specific to surgical procedures or to the operating room. XP would apply to a procedure that is normally bundled to another procedure done on the same day, but should be allowed separately if it was done by a different provider. Modifier 76 and 77 (and 91 for labs) are for procedures that are repeated on the same day by the same or a different provider, respectively. These can be any types of procedures, e.g. an EKG or chest x-ray that had to be repeated later in the day due to a change in patient condition would be eligible for the 76 or 77 modifier.

 

[Msk92@rs]

If two EKG done by different doctors and same day CPT 36620 also billed and my claim billed with CPTs

93010-XU
93010-XU-77
36620

Is it billed correctly?