574coding
Guru
Hello,
The coders here in our office have been informed by a collector that spoke to a supervisor at Tricare. They were told that we should be using modifier 76 when we are billing for additional levels. Example:
64483 L3
64484 L4
64484-76 L5
I always thought modifier 76 would be if the procedure is repeated due to unsuccessful or something along that line....
Does anyone have any info on this to support using modifier 76 or not using it? I have done research, all I have found is not to support using it, but our lead feels different .
Thanks
The coders here in our office have been informed by a collector that spoke to a supervisor at Tricare. They were told that we should be using modifier 76 when we are billing for additional levels. Example:
64483 L3
64484 L4
64484-76 L5
I always thought modifier 76 would be if the procedure is repeated due to unsuccessful or something along that line....
Does anyone have any info on this to support using modifier 76 or not using it? I have done research, all I have found is not to support using it, but our lead feels different .
Thanks