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Modifier 79-previous surgery

blonde01

blonde01

Guru
Messages
114
Location
Port Charlotte, FL
We were recently working some claims where services were performed during the global period. These services were unrelated to the previous surgery. Has anyone successfully billed the new services with a modifier 79?
 
No, in this case the provider is performing an in office procedure, i.e. sinus debridement or laryngoscopy. What determines that these are unrelated if the patient is in global from a septoplasty or laryngectomy? Most of our providers bill a post op visit (99024) with the scope using modifier 58 but recent consultants have advised us that we should be using modifier 79 instead of 58. If anyone has any references regarding this, it would be greatly appreciated!
 
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