Wiki vivaer / clarifix 30117

[freespririt0806]

Hi All
we have a biller in our office who states Medicare told her to use 76 modifier on 30117. I dont agree that this is a "repeat procedure" they have paid on several claims , but i am worried they may recoup. Has anyone heard of use of this mod for this situation?

 

[b.cobuzzi]

I agree with you Tiaralady. A repeat procedure would be if it was repeated on the exact same side. But when the second side is performed, it is not repeated on the same site. This is what happens when non coders at payers tell you how to use modifiers. Get it in writing from the payer.