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Modifier 76 - radiofrequency

  1. #1
    Location
    Greater Atlanta
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    Default Modifier 76 - radiofrequency
    Medical Coding Books
    Is it appropriate on a radiofrequency procedure for example that is done at L3, L4, and L5 all on the right side to use 64622, 64623, and 64623-76? The CPT code is repeated but it is at a different level, so would that count as a repeat procedure?
    Thanks for any help.
    BHouston,MBA,CPC,CPC-H,CPC-I,CCS-P
    Inpt & Outpt Coder

  2. #2
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    International Member
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    215
    Default
    Hey,

    I think 64622 is for single level. For each additional level add 64623. So there is no need to use modifier 76.

    Be'coz this a continuous procedure not a repeat procedure.

    Hope this helps!

    VJ.

  3. #3
    Location
    Columbia, MO
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    12,531
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    It is not a repeated procedure when it is performed at a different level then it is a different procedure you would list 64622, 64623, 64623 59, to indicate same procedure, different level.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Location
    Greater Atlanta
    Posts
    37
    Default
    Thank you for your input so far. Do you know of a reference source I can find that I should use 59 and not 76?

    Thanks.
    BHouston,MBA,CPC,CPC-H,CPC-I,CCS-P
    Inpt & Outpt Coder

  5. #5
    Location
    Columbia, MO
    Posts
    12,531
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    just the definition of the modifier is all you need. To be a repeated procedure it has to be the exact procedure that is repeated, once you perform the procedure at a different level then by definition it is a distinct and separate procedure not a repeat.

    Debra A. Mitchell, MSPH, CPC-H

  6. Default
    I have a question regarding using the 76 modifier..... when I am billing twins for a repeat ultrsound, I bill the 76816 twice, now would I use the 76 modifier on the second charge? I have been told I only need to use the 59 modifier on the second charge. We are a Facility based Maternal Fetal Medicine clinic and we bill both the professional charges and the Facility charges. so, I was asking for the Facility side only.
    Last edited by smlavi; 07-08-2010 at 10:10 AM. Reason: more detail

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