Wiki Modifier for procedure within the global period

Pumpkinroll

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Patient had a Tenotomy of the left lateral hip and came back into the office within the 90 day global period for a GTB injection on the left side due to exacerbation of bursitis pain. I am unsure if there is a modifier that I can use. The diagnosis are the same for both procedures.

I do not think 78 would work since the GTB injection was done in the office. Modifier 79 is for an unrelated procedure, but this seems to be related to me.

Thank you!
 
It depends on the documentation. Where exactly was the tenotomy done? If the injection was for pain relief in the exact same area it *might* be included in the global. If the diagnoses are the same that doesn't really make sense. Was it the IT band in the surgery or the glute? Greater trochanteric bursitis can happen at the same time but I wouldn't necessarily expect to see that as the diagnosis for the tenotomy. I would be asking if the diagnosis was actually correct in the op note or procedure report for the surgery first. Then I would be checking the note for the injection procedure. We need more info to decide.
It's possible it is unrelated and in that case would be 79.
If it is for pain relief and the exact same area and really was the same dx, it is probably included.
A 58 does not make sense here.

Example info
 
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