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Thread: Two separate procedures on same date

  1. #1
    Join Date
    Apr 2007

    Default Two separate procedures on same date

    AAPC: Back to School
    I have a patient who had a colonoscopy for rectal bleeding and the anesthesia for this service was billed (00810). No source of bleeding could be found at this time. Later on the same day the surgeon brought her back into the OR and did a flexible sigmoidoscopy for continued bleeding and the same anesthesia charge was billed by a different anesthesiologist. The second charge has been denied as duplicate. Is there a modifier that I can put on this second charge or any way I can get it paid? Thanks for your help.

  2. #2


    Add modifier 78 to the anesthesia code for the second procedure.

  3. #3
    Join Date
    Apr 2007
    Greater Orlando



    I realize it wasn't part of JulieK's query but does the surgeon get to bill the flexsig using -76 or is billing the second precluded because it's a similar procedure being done through the same opening on the same day?

    Ron McKenzie, CPC-A
    Greater Orlando FL Chapter

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