What modifier is used to signify that a procedure was provided to a patient more than once?

Study for the Current Procedural Terminology (CPT) Modifiers Test. Work through flashcards and multiple-choice questions with hints and explanations for each. Ace your exam with confidence!

The modifier that indicates a procedure was performed more than once on the same date of service is -76. This modifier is specifically used to denote repeat procedures when documented adequately in the medical record. For instance, if a physician performs the same surgical procedure multiple times during a single session, applying the -76 modifier to the subsequent claims ensures accurate coding and reimbursement for those repeated services.

Other options represent different scenarios:

  • The -32 modifier indicates a mandated service, typically one that is required by a third party, which does not apply to repeat procedures.

  • The -33 modifier is used for preventive services that are provided without a cost share for the patient, which does not relate to multiple instances of the same procedure.

  • The -54 modifier is used to signify that the surgical care is being provided in a split-care arrangement, indicating that the surgeon performed only a component of the care (either the surgical portion or the pre/post-operative care), which is unrelated to repeat procedures.

Therefore, the use of -76 is relevant and appropriate for indicating when a single procedure has been repeated on the same patient during a single encounter.

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