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mod 59 VS 76

  1. #1
    Question mod 59 VS 76
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    Hi - My question is if you are excise 2 different lesions measuring the same do you use mod 59 or 76 on the second code?




    I thought I knew but the dr confused me now.


  2. #2
    Default mod 59 vs 76
    I would use modifier 59, it's a second distinct procedure.

  3. #3
    Absolutely use the 59 modifier. The 76 would be used if the patient had a visit for some reason, say a head cold, and then later in the afternoon twisted their ankle and needed to see the doctor again that same day for another E&M visit. You would append the modifier 76 to the second E&M code to tell the payor that this was a repeat visit and not a duplicate billing.

    There is a modifier class in Henderson, Nevada on Sept. 15th and the 20th. Check out the web site to register if your interested.

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