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Modifier 76 vs 59

  1. #1
    Cool Modifier 76 vs 59
    Medical Coding Books
    When a patient has multiple IM injections during a visit, what is more appropriate modifier for the second 96372, 76 or 59? Our classic case is a B12 inj and testosterone inj on the same day. I was under the impression that a 76 was used, is this correct coding?

  2. #2
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    Modifier 76 is for a repeat procedure or service by the same physician. From what you describe here, you are giving two different injections (one B12 and one testosterone). This is clearly not a repeat procedure here, so you would report modifier 59 on the second injection. Hope this helps.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  3. #3
    Thumbs up
    thank you so much!

  4. #4
    Location
    Overland Park, KS
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    You are welcome!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

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