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"27310" modifier 76

Paula Posted Mon 02nd of November, 2015 17:16:39 PM

If cpt code 27310 modifier 78 was performed on 9-11-15 and again on 9-14-15. Will it be appropriate to use modifier 76 and 78, or is modifier 76 only used for the same day?

Thank You,
Center For Orthopaedic Surgery & Sports Medicine

SuperCoder Answered Tue 03rd of November, 2015 09:55:24 AM

Modifier 78 is for unplanned return to the OR, whereas modifier 76 is repeat procedure due to any reason. 76 can be billed on different day also, whenever procedure is performed. It may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service, like a provider may repeat a procedure because the patient did not respond well to the first procedure or because the first procedure was not successful. A provider may also repeat a radiology procedure to render a definitive diagnosis, etc.

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