Modifier 77
Modifier 77 Description and Billing Use
Plain-language description
Reports a medically necessary repeat service by a different physician or qualified professional when supported.
How modifier 77 is used
Modifier 77 identifies a medically necessary repeat procedure or service performed by another physician or qualified professional. Modifier 76 applies when the same professional repeats the service.
Compare modifier 76 before billing a repeat service.
Before reporting this modifier
- 1. Confirm the current official or licensed definition and payer acceptance.
- 2. Identify the exact claim circumstance the modifier communicates.
- 3. Make the code, setting, related services, and medical record consistent.
- 4. Check NCCI, global surgery, component, DME, ABN, or drug rules that apply.
- 5. Do not append a modifier only to force an edit override.
This is a workflow summary, not a licensed CPT definition or claim-specific coding instruction. Verify the code set and payer rule effective for the date of service.