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Modifier help?

  1. Default Modifier help?
    Exam Training Packages
    Do I need the 76 modifier on the 2nd procedure? Both were done on the same day, by the same dr but different incisions. The same dx codes apply for both...
    1st procedure:
    63303
    63047- 51, 59
    63048 x 2
    63056-51
    63277-51
    22612-51
    22614x3
    20225-51,59
    22524-51,59
    22842
    72291-26
    20930-59

    2nd procedure:
    63046-59
    63048-51,59
    63276-59
    20225-59
    20225-51,59
    20930-59
    20936-59
    76001-26
    22523-59
    22610-51-59
    22614x2-59
    22840-59
    Last edited by gpjmommy2; 04-03-2011 at 12:53 PM. Reason: Hoping to clarify

  2. #2
    Location
    Urbana, IL
    Posts
    23
    Default
    The insurace edit system will kick out the claim without the 76 on any repeat CPT by the same provider on the same date regardless if it was the same incision.
    Regards!
    Dawn Peterson
    Coding Consultant/Billing and Coding Instructor
    Illinois, USA

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