AAPC - Back to school
Results 1 to 4 of 4

Thread: Modifier usage?

  1. #1

    Default Modifier usage?

    AAPC: Back to School
    Hello I was wondering if I could get some advice on this. We had a pt come in for a 61790 (PSR) one month. And then came in the next month for a repeat procedure. MCR paid the 1st procedure. For the second, I had used -58 modifier and it was denied. Which I know I shouldn't have used this one from the beginning now. But then I thought, ok I'll use the -78 since it's still in the global period. And then that was denied.

    Now I am confused, I know I need to add something but IDK which one. If you could give me some advice I would greatly appreciate it. I should mention that I work in an ASC.

  2. #2
    Join Date
    Apr 2007
    Manhattan, NY


    Forgive me for playing "the devil's advocate," but this procedure is performed to destroy gasserian ganglion right? If that is the case, how can you repeat the procedure? What was the denial reason?

  3. #3
    Join Date
    Apr 2007


    Modifier 76 may be your winner -

  4. #4


    76 is only used if the service is repeated on the same day by the same provider.

Similar Threads

  1. 62 modifier usage
    By AESCPC in forum Modifiers
    Replies: 3
    Last Post: 04-21-2014, 02:37 PM
  2. Usage of modifier -25 and -59
    By Summer in forum Cardiology
    Replies: 1
    Last Post: 05-10-2012, 06:21 AM
  3. Modifier 92 Usage
    By Labgirl in forum Modifiers
    Replies: 0
    Last Post: 10-20-2008, 09:11 AM

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.