Results 1 to 2 of 2

Apheresis-2x same day/provider

  1. #1
    Default Apheresis-2x same day/provider
    New Call-to-action
    In Virginia Medicare will not accept the Modifer 76 for a paitient that had apheresis
    2x on the same by the same provider. We have thought about billing x2, but do not want hold up payment or cause another denial. Does anyone have any suggestions, please?

    36514-we have looked at several websites and cannot find anything to address this.
    Does anyone know of a specific area we can check?


  2. #2
    Sioux Falls South Dakota
    Per Pub-100 references (100-4,4,231.9) apheresis is not billed by units but on a per visit basis. The Medically Unlikely Edit is for one unit per DOS. There is also an NCD regarding apheresis.

Similar Threads

  1. Same day evaluation by different provider
    By Jcelin in forum Behavioral Health
    Replies: 1
    Last Post: 02-03-2015, 11:07 PM
  2. Bill two specialities for one provider in the same day?
    By cbwalking in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 03-22-2013, 08:17 AM
  3. 2 E/M same day by same provider
    By SHobbs in forum Modifiers
    Replies: 4
    Last Post: 04-10-2012, 03:46 PM
  4. Multiple Provider inpatient visits on same day
    By MSUEEMBRY in forum General Surgery
    Replies: 2
    Last Post: 01-17-2012, 08:22 AM
  5. Chiropractic Care and different provider on same day
    By PeaPod1 in forum Chiropractic
    Replies: 0
    Last Post: 09-02-2010, 02:49 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.