Clydia Posted Tue 17th of June, 2014 15:44:52 PM
I know that if I am billing anesthesia for two surgical procedures done at the same time, I bill the higher code and add all the minutes together. How do I bill the anesthesia when I have one procedure for a patient and then several hours later I do another procedure. I have tried billing with a 78 and a 59 modifier to no avail
SuperCoder Answered Tue 17th of June, 2014 16:07:59 PM
Thanks for your question.
Modifier 76 will be the appropriate modifier in this instance. Modifier 76-Repeat Procedure or Service by Same Physician
The patient is returned to the operating room on the same day for the same or a related procedure. The same physician who is performing the repeat service should bill the repeat procedure with the 76 modifier. See link below for more examples on anesthesia billing from Palmetto GBA:
Clydia Posted Tue 17th of June, 2014 18:30:29 PM
Thank you! but it isn't the exact same procedure - for example, the first anesthesia is for cervical dilation 00940 and the second is for AB 01966. Would that still be modifier 76?
SuperCoder Answered Wed 18th of June, 2014 08:38:53 AM
You are welcome. The 76 modifier should still apply in this scenario because the procedures are related. Modifier 76 is used when the same physician repeats the same or a related procedure. Hope this helps.