Results 1 to 6 of 6

Need Modifier !

  1. Default Need Modifier !
    Exam Training Packages
    Hello All,

    Can anybody explain me wich mod is to be used in the following scenario.

    71010 done by Dr. X in the morning

    71010 done by Dr. Y in the after noon

    again in the evening Dr Y is repeating the same 71010

    Which mod 76/77 would be appropriate to use on third 71010 done in the evening.

    Should we append mod depending up on the initial procedure done in the morning or the procedure done in the after noon??

    Thanks in advance !!

    Last edited by prem_ponnuru; 01-02-2009 at 08:17 PM.

  2. Default
    You won't need the modifier on the first procedure, only on the subsequent procedures. I believe modifier 76 would be the correct modifier to use.


  3. Default thx
    Hi thanks for your suggestion. Even I have the same feeling.

    Any more suggestions please !!!

  4. Default
    Hello. I think the modifier should be a "77" because it's a repeat procedure by a another physician. A 76 modifier should be used when it's the same procedure, same physician.

  5. #5
    Milwaukee WI
    Default Same practice = same physician
    I responded on another thread ... in general if the two physicians are in the same practice and of the same specialty, they are considered the same physician. Modifier 76

    F Tessa Bartels, CPC, CPC-E/M

  6. #6
    Evansville Indiana
    Default modifiers
    I would code this as 71010, 7101077, 710105977. Since the physicians have different NPI numbers, you should bill with the 77 modifier instead of the 76 modifier. I used to bill for a multi-physician radiology practice and this was the way that Medicare wanted these billed. The 59 would tell Medicare that that x-ray was done at a separate session.

Similar Threads

  1. Replies: 2
    Last Post: 09-18-2015, 02:17 PM
  2. Modifier 59 vs Modifier 91 for Laboratory
    By leahrey in forum Modifiers
    Replies: 1
    Last Post: 06-23-2015, 01:01 PM
  3. MODIFIER PT VS MODIFIER 33 Screening Colonoscopy
    By Ann Johnson in forum Modifiers
    Replies: 2
    Last Post: 07-19-2012, 08:08 AM
  4. Modifier 58 versus Modifier 78
    By Ramona03 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-04-2012, 01:10 PM
  5. Modifier 51 Versus Modifier 59
    By Sborkowski in forum Modifiers
    Replies: 3
    Last Post: 05-26-2009, 04:59 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.