MODIFIERS

I AM AT A LOSS......PT HAD A HERNIA REPAIR 05/03/16. ON 05/27/16 10030 AND 76942 WERE PERFORMED. WHAT MODIFIERS DO I NEED TO USE?

Comments

  • edited May 2017
    I agree with you, if it was done for pain control it would be included.
  • if the 2nd procedure done on 5/27 was related to the 1st procedure done on 5/3, use modifier 78 if it was not related use modifier 79. also you can not use procedure 76942 with 10030.
  • As per CPT Do not report 10030 in conjunction with 76942. The modifier is 79. 10030-79

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