Modifier 78 versus 79

[kc-george]

Does anyone have any idea which would be best in this case? I have patient who sustained a patella fracture, and we performed ORIF. A few weeks later, she the ORIF has come unsecure, so we must go back in and redo, this time with a cast application. I am having confusion as to whether modifier 78 or 79 would be best. Could someone help please? Thank you.

[jmcpolin]

I would use 78 as to this was unplanned.

[kc-george]

Thank you... I was leaning that way but got scared. Thanks.

[mimina1@yahoo.com]

Agreed 78 modifier

[mhstrauss]

Also agree with 78, for what its worth

[kc-george]

worth a lot, thank you!