Wiki Modifier Question

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Ok, we need to clarify that if a code is not global such as a stent or a cardiac cath placement, if our doctor two days later goes back to the OR and does a second stent do we even need to use a modifier to state related or staged, if not Medicare? If it is Medicare and the procedure codes still do not have a global period are the modifiers necessary for payment? Hope that makes sense, any help please!
 
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