Medicare AdvantageBilling CodesMedium impact
MA03.001b, Modifier 76: Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional
Independence Blue Cross·Coding
Effective date
Apr 16, 2025
We identified it
Jun 19, 2026
Summary
Independence Blue Cross has reissued their Medicare Advantage policy MA03.001b regarding Modifier 76 for repeat procedures by the same physician. This is a policy reissue that will take effect April 16, 2025, and may contain updated guidance on when and how to use Modifier 76 for billing repeat procedures.
Action Required
By April 16, 2025: Billing team must review the complete updated policy MA03.001b at the Independence Blue Cross website to understand any changes to Modifier 76 usage requirements. Update billing procedures and staff training accordingly for Medicare Advantage claims involving repeat procedures by the same provider.