Results 1 to 3 of 3

Do I need modifier 76?

  1. Default Do I need modifier 76?
    Medical Coding Books
    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

    --------------------------------------------------------------------------------

  2. #2
    Location
    Columbia, MO
    Posts
    12,843
    Default
    76 is for a repeated procedure . To be repeated it must be the exact same procedure repeated in a different setting. the same procedure performed on a different location is not repeated, so no you do not use it. FYI when using the 51 and the 59 together always sequence the 59 first. As far as whether the codes or modifiers selected on this case, without an op note I cannot say whether they are correct or not. I am answering generically on appropriate use of the 76 modifier.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default Thanks Debra
    I really do thank you; I know which ones needed the 51 & 59 because I ran them thru Encoder.Pro expert & I do sequence them 59-51 when I am listing them for billing. I truly thought that was what the 76 was for, but you know sometimes it can just escape your brain when you don't use it. Thanks so much!

Similar Threads

  1. Replies: 2
    Last Post: 09-18-2015, 01:17 PM
  2. Modifier 59 vs Modifier 91 for Laboratory
    By leahrey in forum Modifiers
    Replies: 1
    Last Post: 06-23-2015, 12:01 PM
  3. MODIFIER PT VS MODIFIER 33 Screening Colonoscopy
    By Ann Johnson in forum Modifiers
    Replies: 2
    Last Post: 07-19-2012, 07:08 AM
  4. Modifier 58 versus Modifier 78
    By Ramona03 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-04-2012, 12:10 PM
  5. Modifier 51 Versus Modifier 59
    By Sborkowski in forum Modifiers
    Replies: 3
    Last Post: 05-26-2009, 03:59 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?

Login

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.