AAPC - Back to school
Results 1 to 5 of 5

Thread: different specimens different referring dr's

  1. #1
    Join Date
    Apr 2007
    Dickson, TN

    Default different specimens different referring dr's

    AAPC: Back to School
    I have two claims that went to Medicare the same day. Each have the same CPT codes billed. The issues is that there are two referring doctors. Do We need to just add the 59 modifier to the denied claim or is there a way to combine them in one claim and use units but still have two referring doctors noted?

    Thanks in advance
    Debbie Potts England
    Lyles, TN 37098

  2. #2


    I would use a modifier 76 or 77.

  3. #3


    I realize that replying now is not helping you but maybe someone will read this and it will help them. You should add a 59 modifier . the 77 and 76 modifiers are not correct on pathology services. I realize that our medicare plan doesn't mind them but many other insurances do as they are improper for different specimens, they should only be used on a repeat procedures

  4. #4
    Join Date
    Apr 2007
    Dickson, TN

    Smile two referring physicians for 88305's

    We have tried using the 59 modifer but they still would not accept them. thanks for your help though
    Debbie Potts England
    Lyles, TN 37098

  5. #5


    I would file an appeal sending in both reports, I think it would pay. We file many appeals for this reason and are paid by almost all insurances, excluding medicaid, which we don't appeal to, because they have a one unit max on most codes ( although they do allow 2 88305s but they must be billed together on one claim with 2 units, if seperate claim lines they deny)

Similar Threads

  1. Uterus and Ovary specimens
    By skumar in forum Pathology & Clinical Laboratory
    Replies: 3
    Last Post: 11-06-2014, 07:52 AM
  2. Co-mingled Specimens
    By ohdl1977 in forum Pathology & Clinical Laboratory
    Replies: 2
    Last Post: 11-14-2013, 12:42 PM
  3. Archived specimens
    By bridgettemartin in forum Pathology & Clinical Laboratory
    Replies: 2
    Last Post: 04-03-2013, 06:55 AM
  4. Skin Specimens
    By vkazmierczak in forum Pathology & Clinical Laboratory
    Replies: 1
    Last Post: 09-30-2011, 09:42 AM
  5. Collection of specimens for Chlamydia
    By cynannthomas in forum OB/GYN
    Replies: 4
    Last Post: 05-18-2011, 09:02 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.