Modifier Workflow
Repeat Service and Professional or Technical Component Modifiers
Distinguish a repeat service from a professional or technical component and from an accidental duplicate claim.
Research sequence
- 1Identify the complete service and code
- 2Determine component eligibility
- 3Establish why and by whom a service was repeated
- 4Check payer duplicate and frequency edits
Modifiers in this workflow
26Professional componentIdentifies the professional component when professional and technical components may be billed separately.DetailsTCTechnical componentIdentifies the technical component when professional and technical portions may be reported separately.Details76Repeat procedure by the same professionalReports a medically necessary repeat service by the same physician or qualified professional when supported.Details77Repeat procedure by another professionalReports a medically necessary repeat service by a different physician or qualified professional when supported.Details91Repeat clinical diagnostic laboratory testReports a medically necessary repeat laboratory test, not a repeat caused by specimen or equipment problems or simple confirmation.Details
Use current official or licensed modifier definitions and payer instructions. A modifier communicates a supported claim fact; it does not create coverage or medical necessity.