Wiki Closed fx tx requiring trip to operating room within global period for orif

[susanoliver42@gmail.com]

I have a patient initially treated and billed with closed fracture care who's fracture became displaced requiring a trip to the operating room for orif. What modifier is appropriate to bill for this change in condition/treatment? 79?

 

[fish4codes]

I would use -78 as it is unplanned, but related and required a return trip to the operating room.

 

[susanoliver42@gmail.com]

I would use -78 as it is unplanned, but related and required a return trip to the operating room.[/Q

the initial care was not in the operating room, but fracture care only. the fracture became displaced during closed treatment requiring the operating room care for ORIF. still use 78?

 

[sxcoder1]

Modifier 58 can be used to indicate a procedure that is "more extensive than the original procedure", for example closed reduction and then orif. That's what I usually use.

 

[hblakeman]

I also would use 58, as the ORIF has higher RVU.

 

[fish4codes]

I appreciate others input - I am still rather green at orthopaedics and am always eager to hear from those more seasoned !! Thanks!!

 

[susanoliver42@gmail.com]

I appreciate the feedback. I've worked multi-specialty for years with Orthopedics mixed in, but it's been a few years and I feel I'm relearning. It's always good to have the input of others more "fresh" in the specialty!