tci Part B Insider - 2013 Issue 4

Reader Question: Reporting Units Trumps Use of Modifier 76

Question: We use modifier 76 (Repeat procedure by the same physician other qualified healthcare professional) when we administer more than one Rocephin immunization at the same visit. In addition, our practice also appends modifier 76 for subsequent immunizations if we administer more than one vaccine at the same visit. Our office manager said we should not be using modifier 76 this way. Is that accurate? Answer: The answer depends on the insurer, but typically, that is not an example of how modifier 76 should be used. The policy for insurer Independence Blue Cross, for example, includes the following requirements:...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.