Modifier 58 versus Modifier 78

Ramona03

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Hello:

Could use some opinions from other coders please?

If a patient had a fracture repair, and the patient comes back for debridement of that fracture repair due to infection during the postoperative period should I append Modifier 78? Also if the patient had a subsequent debridement the next day what modifier should be appended? Could really use some feedback on this, thanks!
 
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