Nebraska Subscriber
Answer: Even though it seems as if the third- segment removal is related to the initial dual-segment removal, it isn't necessary for you to append modifier -76 (Repeat procedure by same physician) to 27080 (Coccygectomy, primary) for your physician's recent coccygectomy surgery.
Because the original procedure's global period expired, you can report 27080 again without appending any modifiers.