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diffference between 76 and 91 modifiers

  1. Default diffference between 76 and 91 modifiers
    Exam Training Packages
    Hi All,

    Can we use modifier 76 if a pathology laboratory service is repeated? can anybody explain me the difference between 76 and 91 modifiers.

    Any help is greatly apreciated.

    Prem, B.Pharm;CPC

  2. #2
    Location
    Albany, New York
    Posts
    456
    Smile
    Refer to Appendix A in your CPT book.
    The difference between the two modifiers is explained very well there.
    Karen Maloney, CPC
    Data Quality Specialist

  3. #3
    Default 76 or 91 modifier
    Basically a 76 modifier can be used for any repeat procedure or service. A 91 modifier is only used for repeat lab tests. I use the 91 modifier for any repeat lab tests that my doctors order on a medicare patient.
    A.Dimmitt, CPC, CIRCC
    Durham, North Carolina

  4. #4
    Location
    Albany, New York
    Posts
    456
    Default
    Keep in mind, Modifier 91 can only be used for repeat labs done
    on the same day.
    Karen Maloney, CPC
    Data Quality Specialist

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