Modifier 78 versus 79

kc-george

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Does anyone have any idea which would be best in this case? I have patient who sustained a patella fracture, and we performed ORIF. A few weeks later, she the ORIF has come unsecure, so we must go back in and redo, this time with a cast application. I am having confusion as to whether modifier 78 or 79 would be best. Could someone help please? Thank you.
 
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