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Thread: Modifier advice, please

  1. #1
    Join Date
    Apr 2007

    Question Modifier advice, please

    AAPC: Back to School
    I've never had this happen before, but:

    Physician A attempts a colo at our ASC. She has to terminate the procedure because the patient became combative. She sent him to have a repeat procedure done under MAC as an outpatient at one of the area hospitals by the rounding partner. I'm thinking modifier 77?

    Michele R. Hayes, CPC, CEMC, CGIC

  2. #2
    Join Date
    Apr 2007
    Greeley, Colorado


    I would use -53 for the first doctor. Since the procedure was terminated, I don't think you need a modifier for the doctor that did the procedure under MAC, but keep in mind that physicians of the same specialty in the same group practice are considered the same physician, so if you did need a modifier for the second doctor it would be -76. I still don't see this as repeat since it was never completed.
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Join Date
    Apr 2007

    Default Modifier advice, please

    Thanks, Lisa. I'm glad you put -76 in your reply....that'll teach me to try to "modify from memory".

    Have a great day!

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