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Modifier: Repeat Procedure

  1. #1
    Default Modifier: Repeat Procedure
    Medical Coding Books
    Medicare of NY doesnt accept mods 76 and 77, instead mod 59 is used for repeat procedures. For commercials mod 76 and 77 are ok. Is it a right practice to use 59 for Medicare and use 76 and 77 for commercials.

  2. #2
    Columbia, MO
    Meicare of NY does accept the 76 and 77 modifiers, they just cannot adjudicate them electronically so they must be submitted via paper. I do this quite often for NY Medicare especially for radiology and it is never a problem. It is incorrect to use the 59 if it is indeed a repeated procedure. For what circumstance are you wanting to use the 76 or 77 maybe that is the issue.

    Debra A. Mitchell, MSPH, CPC-H

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