AMA CPT® Assistant - 2007 Issue 1 (January)

Surgery: Eye and Ocular Adnexa (January 2007)

January 2007 page 28d Coding Communication:Surgery: Eye and Ocular Adnexa Question For diagnostic purposes, the physician closed the patient's lacrimal puncta with a collagen plug for dry-eye syndrome. A week later, the lacrimal puncta was therapeutically closed with a silicone plug. Is it appropriate to append modifier 76, Repeat procedure by same physician, to the second procedure code (ie, 68761) to indicate that this is a repeat procedure by the same physician? AMA Comment No. Modifier 76 is not appended because the two services, although both are reported with code 68761, Closure of the lacrimal punctum; by plug, each...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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