Has anyone had trouble getting Medicaid to pay for more than 1 unit of G0461 per day? They state they only pay 1 per day regardless but we sometimes bill multiple specimens per day therefore use G0461 more than once. How do you get around that? They do not acknowledge modifier 59. I know they instruct us to append a 77 modifier for repeat procedures. I disagree with them that this would constitute a "repeat procedure" but rather a procedure done once on multiple specimens. Any one have any ideas? An appeal never results in a favorable decision with Medicaid. We are in NJ. Even the add on code G0462 would not apply.