Wiki Modifier 76 - attached to a Jcode

[NESmith]

Can a 76 modifier be attached to a Jcode. I have never heard this before but someone is telling me that Medicare stated that this is an approved modifier for a Jcode. I can not find anything in writing to support this. Please give me your thoughts on this matter.
Thanks as always for everyone's help.

 

[Pam Warren]

I would not append -76 to a J code. J codes are not procedures. They are essentially supplies.

Are you doing bilaterial injections, or repeat injections? For the administration code perhaps the -50 (or -RT, -LT) or -59 would be more appropriate. The J code would be billed based on number of units, in total, that is administered for all of the injections combined.
For example, we often provide bilateral knee injections of Kenalog. For 40 mg. Kenalog in the right knee and 40 mg. in the left knee, I'd bill 20605-RT, 20605-LT-59, and J3301 x 8 units. (this is billed per 10 mg. each, even though the vial might contain 40 mg.)


Hope this helps. Pam

 

[NESmith]

Thanks again for your help Pam