Modifier 76: Repeat procedure by same physician

Modifier Code

Code Type

Billing modifier

When to Use Modifier 76

Apply modifier 76 when the same procedure is repeated by the same provider on the same day and needs to be identified as a repeat service on the claim. In behavioral health, this can apply when a second, identical therapy session is conducted with the same patient in the same day for a distinct clinical reason. Document the medical necessity of repeating the service clearly in the clinical record.

CPT Codes Commonly Paired with Modifier 76

These CPT codes are frequently billed alongside modifier 76 in therapy practice:

CPT 90837 - Psychotherapy, 60 minutes CPT 90834 - Psychotherapy, 45 minutes CPT 90832 - Psychotherapy, 30 minutes CPT 90853 - Group psychotherapy

Superbill Notes for Modifier 76

What to include: Indicate on the superbill that this is a repeat service on the same date and document the clinical rationale. Include the exact start and stop times for each session to substantiate separate billing.

Adding Modifier 76 to a Superbill

Superbilled lets you add modifier codes directly to each line item on your superbill. When generating a superbill with modifier 76, make sure to include your NPI number, the patient's diagnosis code, date of service, fee charged, and amount paid. The modifier appears alongside the CPT code on the claim.

Generate a superbill with Modifier 76 free