Modifier 76

Repeat procedure or service by same physician or other qualified health care professional

Instructions

Used to indicate a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. Procedure or service is usually performed on the same day.

Correct Use

  • Append 76 modifier to repeated procedure or service CPT code only
  • May append to repeat procedure or service when two physicians are within same group or same specialty modifier
  • Append to surgeries, x-rays and injections

Incorrect Use

  • Not appropriate with laboratory or pathology codes (append modifier 91)
  • Not appropriate to use with equipment failure
  • Do not append to an E/M service
  • Does not replace modifiers such as RT, LT, 50, E1-E4, FA, F1-F9, TA, and T1-T9

Resource

 

Last Updated Thu, 25 Oct 2018 13:17:18 +0000