77 - JF Part B

Repeat procedure by another physician

Instructions

This modifier is appended to a repeated service from other physicians.

Correct Use

• Service originally performed by another physician
  • Documentation must include reason for repeat procedure
  • E.g., suspicious findings in original x-ray or EKG

Incorrect Use

• Not appropriate if repeated by same physician

Claim Coding Example

Resource

• CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, Chapter 12, Sections 30 and 40.2