Fracture Care Question

[gherimicheleCPC]

I would like to know how you would in a fracture care global period of 90 days for additional cast or splint.
The patient had the original splint at time of manipulation. However, he was scheduled a week later to remove the original splint and put a cast on. Do I use a modifier on the second procedure?

[RebeccaWoodward*]

Modifier 58.

The recasting and the supplies are not bundled into the original fracture care charge. In fact, some carriers (Medicare and otherwise) require the modifier -58 on re-casts.

[Treetoad]

I would charge the application with modifier 58.