Wiki placement of spinal cord stimulator after lead trial

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suec

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Hello, Can someone clarify the use or not use of modifier 58 on CPT 63685 for facility coding. The procedure: trial leads are placed previously & attached to a external generator. Later a permanent generator is placed and attached to the previously implanted leads. We coded 63685. It was mentioned that modifier 58 should be added because it is a staged procedure done within the postprocedural time frame. Is the global period 10 days for CPT 63650? If the generator is placed within 10 days we use modifier 58 and if it's greater than 10 days no modifier is used? I was given A57709 as a reference. Is this for physicians only or does it apply to hospitals. Claims were paid without issue and without modifier 58. Thanks so much
 
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suec said:
Hello, Can someone clarify the use or not use of modifier 58 on CPT 63685 for facility coding. The procedure: trial leads are placed previously & attached to a external generator. Later a permanent generator is placed and attached to the previously implanted leads. We coded 63685. It was mentioned that modifier 58 should be added because it is a staged procedure done within the postprocedural time frame. Is the global period 10 days for CPT 63650? If the generator is placed within 10 days we use modifier 58 and if it's greater than 10 days no modifier is used? I was given A57709 as a reference. Is this for physicians only or does it apply to hospitals. Claims were paid without issue and without modifier 58. Thanks so much
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Modifier 58 does not apply to facility coding/billing. This modifier is used for the professional component within the global period.
 
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