You Be the Coder:
Append Modifier 76 with Second X-Ray Claims
Published on Tue Mar 15, 2016
Question: Our physician obtained an X-ray after the orthopedic surgeon did manipulation for a closed fracture in the humeral condyle in elbow. The surgeon was not satisfied with the reduction and manipulated again. The post-reduction X-ray was then repeated. Our carrier is United Healthcare. We have been denied the second X-ray. What modifier can we submit for the second post-reduction X-rays? [...]