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Thread: 72020 Two Units or Modifier 76

  1. #1

    Default 72020 Two Units or Modifier 76

    AAPC: Back to School
    a single view of the Thoracic spine and and a single view of the Lumbar spine were taken. Should 72020 be billed with 2 units or as two line items with a modifier 76 on the second one?

  2. #2

    Default 72020, 72020 - 76

    Code it as 72020, 72020 - 76. For more information refer to http://www.tdi.state.tx.us/medcases/...7-1206f&dr.pdf

  3. #3


    Must post the second line item with 59 modifier.

    The line item should be as:
    72020 (Thoracic)
    72020-59 (Lumbar)

    Thoracic and lumbar should be noted in the comments.

    Ref: http://www.ahraonline.org/ConfEd/Aud...-06Handout.pdf
    Page: 71

  4. #4

    Default Use Mod 59

    Since two different Areas are being studied need to use Mod 59

  5. #5


    Use modifier 59 and be sure that your dx are correct for each code
    Ann Marie CPC
    New Britain, CT

  6. #6
    Join Date
    Apr 2007
    Columbia, MO


    The 59 modifier is correct, for a 76 repeat procedure, it must be the eact same procedure repeated, when same xray but two different sites then it is not the same exact procedure.

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