Question: A patient presents to the office with an allergic reaction to chlorine after swimming all afternoon. The patient is wheezing with dyspnea. The physician immediately administers a nebulizer treatment that proves slight improvement. After re-assessing the patient, the physician decides to administer another treatment in order to evoke a better therapeutic response. Can I report modifier 76? Arizona Subscriber Answer: Yes. You would use modifier 76 (Repeat procedure by same physician) to indicate that a procedure or service was repeated in a separate session on the same day by the same physician. You may also report this modifier for services ordered by physicians but performed in your office by staff on the same day, when permitted. Be sure documentation reflects each service you report. Here's what you should report on your claim: