Saturday, March 12, 2011

Surgical procedure code modifiers 76, 77 , 59

Surgical Procedure Code Modifiers

When submitting claims for procedures done on the same date of service, a modifier is required to indicate that the repeated service is not a duplicate. If the same provider performs the repeat procedure, use modifier
76.

For repeat procedures done on the same date of service by a different provider, use modifier 77. Claims submitted for repeat procedures on the same date of service without modifiers are denied as duplicate services.

Modifier Description
76 Repeat Procedure By Same Physician. Modifier indicates a procedure of service is repeated by the same physician subsequent to the original service. This situation may be reported by adding modifier 76 to the five digit procedure code.

77 Repeat Procedure By Another Physician modifier indicates that a basic procedure performed by another physician had to be repeated. This situation may be reported by adding modifier 77 to the five-digit
procedure code.

59 Distinct procedural service modifier indicates that a service or procedure was distinct or separate from other services performed on the same day. This may represent a different session or patient encounter, different procedure or surgery, different site, separate lesion, or separate injury (or area of injury in extensive injuries).

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