In Coding
Jul 8th, 2019
Although coding in this area may seem complex, you can simplify it with a quick review of requirements and carrier policies. Coding for spinal cord stimulation lead implantation is thought to be too complex and difficult for some. There are several reasons for this perception: There are coding differences based on the site of service ...
Compare and contrast these modifiers to ensure proper use. Modifiers are necessary for complete and accurate coding. They convey important information about a claim and directly affect reimbursement. But choosing the most appropriate modifier can be confusing — especially when two or more modifiers have similar descriptors. For example: Modifier 58: Staged or related procedure or ...
In Coding
Sep 12th, 2016
Modifier 58 Staged or related procedure or service by the same physician or other qualified healthcare professional during the postoperative period is applied only during the postoperative period of a prior procedure, to indicate that the current procedure is either: Planned prospectively or at the time of the prior procedure For example, skin grafts may ...
In Coding
Oct 15th, 2015
Modifiers are the key to payment for surgical complications. The CPT® codebook and the Centers for Medicare & Medicaid Services (CMS) agree that a complication that requires a return to the operating room (OR) should be paid separately. For complications requiring additional surgical procedures in the OR that are related to the original surgery, append ...
Using it correctly requires knowing when to use modifier 78 instead. Modifier 58 Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period is applied only during the postoperative period of a prior procedure to indicate the current procedure is either: a. Planned prospectively or at ...