Question: What Is The Difference Between Modifier 76 And 77?

What is a 76 modifier?


Used to indicate a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service..

Does modifier 76 affect reimbursement?

Payment is made at 50% of the allowed amount. The practitioner may need to indicate that a procedure or service was repeated subsequent to the original procedure or service on the same day. This circumstance may be reported by adding modifier –76 to the repeated procedure/service.

What is a 78 modifier?

Modifier 78 is used to report the unplanned return to the operating/procedure room by the same physician following an initial procedure for a related procedure during the postoperative period.

What is a 57 modifier?

Modifier 57 should be appended to any E/M service on the day of or the day before said procedure when the E/M service results in the decision to go to surgery. This informs the payer that the physician determined the surgery was medically necessary.

Can you bill modifier 76 and 77 together?

Use modifier -76 (repeat procedure by same physician) or -77 (repeat procedure by another physician) to indicate that your physicians or technicians repeated a procedure or service in a separate operative session on the same day.

What is a 77 modifier?

Modifier 77 is used to report a repeat procedure by another physician and is appended to the repeat procedure to: Report the same service provided by another physician. Indicate that a basic procedure or service had to be repeated.

What does modifier 80 stand for?

CPT Modifier 80 represents assistant at surgery by another physician. This assistant at surgery is providing full assistance to the primary surgeon. This modifier is not intended for use by non-physicians assisting at surgery (e.g. Nurse Practitioners or Physician Assistants).

What is the 51 modifier?

Modifier 51. Multiple Procedures. When multiple procedures, other than Evaluation and Management (E/M), Physical Medicine and Rehabilitation services or provisions of supplies (e.g., vaccines) are performed at the same session by the same individual, the primary procedure or service may be reported as listed.

What is an 82 modifier?

Modifier 82 Assistant Surgeon (when qualified resident surgeon not available) – In certain programs or facilities (e.g., in teaching hospitals), the physician who generally acts as the assistant surgeon is a qualified resident surgeon.