The more recent DDS/DSP based Accuphase tuners can be switched between the 76-90 and 88-108 bands by a code input from the front panel. This at least applies to the T-1000 and T-1100 - I verified the latter personally on my T-1100. They also have transformers which can be rewired to 120VAC or 230VAC power. I don’t have any information about the current T-1200, though.
My understanding is that older models (T-109 and prior) do require replacing the front end, which is very difficult to obtain. I wouldn’t bother trying to convert a Japanese version to US standards. However, it is possible to convert European spec versions to US spec - that just requires rewiring the power transformer primary (that was well marked in my old T-108), and changing two caps to change the deemphasis (the spec sheet for the MPX IC gives the details, since Accuphase doesn’t).