Feb 21st, 2018
Sometimes coders are confused when they should apply modifier 58 Staged or Related Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period and modifier 78 Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure ...
In CMS
Sep 1st, 2012
The modifier is critical to telling the story of your medical coding claim. Just as words with similar definitions convey distinct meanings (“plan” versus “scheme,” for instance), so do modifiers with similar descriptors. We’ll discuss three that require precise application: modifiers 58, 78, and 79. Modifier 58 Modifier 58 Staged or related procedure or service by ...
Jul 1st, 2010
By Terri Brame, MBA, CHC, CPC, CPC-H, CGSC, CPC-I Surgical wound closure can be confusing and vague, but you can sew up your wound closure knowledge by returning to the basics. CPT® foundation concepts always apply and can help you navigate wound closure and delayed closure procedures. Define Your Terms Keep the definitions of primary, ...
Jun 1st, 2010
By G. John Verhovshek, MA, CPC Used appropriately, modifier 59 Distinct procedural service is a powerful reimbursement tool allowing for separate payment of distinct services that, under usual circumstances, would not be billed together. For this same reason, the modifier also allows ample opportunity for misuse and abuse. The competent coder will apply modifier 59 ...