US · guidance
CMS Pub. 100-04, ch. 4, § 20.6.5
Modifiers 76 and 77
76: Repeat procedure or service by same physician or other qualified health care
professional
77: Repeat procedure by another physician or other qualified health care
professional
Two repeat procedure modifiers are applicable for hospital use:
• Modifier 76 is used to indicate that the same physician or qualified health care
professional repeated a procedure or service.
• Modifier 77 is used to indicate that another physician or qualified health care
professional repeated a procedure or service.
Since OPPS claims generally span only one calendar day, modifier 76 and 77 should be
used to report procedures or services that are performed in a separate operative session on
the same day or separate encounter on the same day.
If there is a question regarding whom the ordering physician/provider was and whether or
not the same physician/provider ordered the second procedure, the code selected is based
on whether or not the physician/provider performing the procedure is the same. The
procedure must be the same procedure. It is listed once and then listed again with the
appropriate modifier.
History
(Rev. 11937; Issued: 03-31-23; Effective: 04-01-23; Implementation: 04-03-23)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
18abfedc13ca37f8d2d1a0d1f71825dd63f445603a1f69ba42015f8c804f5af7
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