tci Part B Insider - 2003 Issue 18

Know Your ER Modifiers

The key to getting two E/M services paid in the ER is to know your modifiers, Steve Verno says. If a patient is seen by the same physician twice in one day, you'd use modifier -76 (Repeat procedure by same physician) if you bill two E/M services separately instead of combining them. "We have used them in the past where the PT came in in the morning and saw one of our physicians, and then at five in the afternoon is seen by the same physician for a different reason," Verno says. But if two different...

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