You need to drop the 76 as these are not repeated services they are each one performed at separate sites which makes them distinct procedures all performed in the same setting you should do fine with
I have noticed that if you put the 59 on the first listed code Medicare as well as other carriers will deny the rest as duplicate however leave the first line modifier free and this does not happen.
An example of the 76 is EKG, when the physician has the first one done and then repeats the test again after an intervention, or an xray which is repeated after a reduction of the bone is performed.
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