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AHA Coding Clinic® for HCPCS - 2009 Issue 2; FOR your INFORMATION

Inherently Bilateral Procedures

The Centers for Medicare & Medicaid Services (CMS) has received reports of clinical scenarios where a bilateral procedure may be performed more than once per day on the same date of service for the same patient. CMS has advised hospitals to report the procedure performed with modifier 76, Repeat Procedure or Service by Same Physician, appended to the additional procedure code(s). For example: A patient comes in to the hospital outpatient department and has the same procedure (CPT code 70330, Radiological examination, temporomandibular joint, open and closed mouth; bilateral) performed twice in the same day. The first was a...

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