What does modifier 76 explicitly indicate?

Modifier 76 is used to indicate that a procedure or service was repeated by the same physician or another qualified healthcare professional on the same day. This modifier is essential for billing and coding because it helps to clarify that the same service was performed more than once rather than suggesting that a different service or procedure took place.

In cases where a procedure must be repeated—perhaps due to complications, the need for a follow-up intervention, or other clinical reasons—applying modifier 76 ensures that the payer understands the rationale behind the billing for the repetitive service. By doing so, it prevents confusion regarding the nature of the services provided and supports accurate reimbursement for the healthcare provider.