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Wiki 59 vs 79?

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7
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Bartlett, IL
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The patient underwent a total hip arthroplasty at an ASC in the morning. After being discharged, they fell and dislocated the hip prosthesis. They went to the ER where the same surgeon performed a closed reduction under anesthesia. What modifier would be appropriate for the manipulation?

I was thinking 79 because it is a re-injury, not a complication. However, a colleague had a note that 59 would be the correct modifier since it is done the same day, not during the post-op period. I am billing for the physician, not the hospital.
 
Modifier 78 for unplanned return to the operating room by the same physician following initial procedure for a related procedure during the postoperative period. It can be same day.
 
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