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Mod 76 vs 77 - diff phys at same office

  1. Question Mod 76 vs 77 - diff phys at same office
    Medical Coding Books
    I was wondering if two separate physicians of one practice billed for two separate services on the same day, would they append the mod 77 for different providers or 76 for same provider since they are technically the same under one NPI (umbrella). Just need clarification if anyone has something to throw out there

  2. #2
    Coastal Coders
    Different procedure codes? And/or diagnoses?

  3. Default mod 76 vs 77
    same procedure/diagnosis. same day, different phy. procedure is being denied as duplicate when billed second time with mod 77. They work at the same practice.

  4. #4
    Overland Park, KS
    I think if they are the same practice, they would be considered the same provider, so you would use modifier 76.

    Others may have a different opinion.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

  5. Default mod 76 vs 77
    That is what i was thinking as well, however I cant find anything in writting that would state that... if you have any information, that would be greatly appreciated

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