I don't have any references but this is my take: 86077 would be a duplicate service/repeat procedure - no bill. The others are possible in theory but very unlikely. In the case of 86078, if a pt had a suspected transfusion reaction, would they then try to transfuse him again on the same day? For 86079, how many times could they authorize deviation from standard procedure? Again, only once seems likely and, if it was the same deviation later in the day, I wouldn't bill for it because it is treating the same condition in the same manner.
For what that's worth.
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