Masectomy

Worxs43

Contributor
Messages
19
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Good Morning,

Having an issue with a claim that is stating I'm using incorrect modifier. Well there was a patient that was seen a month ago for a rt side partial masectomy 19302 which was performed. Now the patient has come back in a week ago due to concerning findings so a bilateral complete mastectomy-19303 was done within the 90 day global period of 19302. The modifier I was using for the recent visit was the modifier 58 but also I was told that the visit would fall under global so no billing. is this correct?
 

dkissel

Networker
Messages
43
Location
Flint, MI
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If the margins are not clear and a complete mastectomy should be performed, then the correct billable modifier is 58. What is the point of having modifiers 58/78/79 etc if you couldn't bill in the global period?
 

Worxs43

Contributor
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Dkissel thank you so much. Yes it threw me do just wanted to dbl check.
Thank you very much :)
 
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