Corporate Compliance

Tip: Using modifier -76

Compliance Monitor, October 5, 2005

Use modifier -76 to indicate that a procedure or service was repeated in a separate operative session on the same day.

  • This modifier may be reported for services ordered by physicians but performed by technicians

  • Report the procedure once, then report it again with modifier -76 added (two line items)

  • Do not use the units field to indicate that the procedure was performed more than once on the same day

  • If you are not sure who ordered the second procedure, or whether the same physician ordered both procedures, code based on the physician who performed the procedure

    The above tip is an excerpt from the book "Modifier Training Handbook for Hospital Billers and Coders," Copyright 2004 by HCPro, Inc. This book is an easy-to-use training guide for billers, coders, and their HIM supervisors and managers that's written in plain English and takes the confusion out of the appropriate use of hospital modifiers.

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