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Define OR for Successful Modifier 78 Use

Published on Wed Jun 18, 2025

Question: I work for a surgery practice, and I’ve been using modifier 78 when patients return to our office and enter an exam room with their surgeon for an unplanned service. Since we do procedures in those rooms, I’ve assumed they count as procedure rooms. I recently learned that modifier 78 should really only be used at hospitals. Is this [...]
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