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Thread: Mod 78

  1. #1

    Question Mod 78

    AAPC: Back to School
    This pt had a endovascular procedure done which has a 90 day global period. He now comes in the office due to a Seroma in the groin area where the catheters were placed. The doctor does a aspiration of seroma (10160).

    My question is what mod to use or is included in the Global period? Mod 78 states pt has to go back to OR. This is a Medicare patient & it states this in the modifer rules also.

    I feel he needs credit for this and the pt has had this done three times.

    I now have to add to this previous thread.

    Proc 10160 has a 10 day global and the pt comes back 5 times for a 10160 bec of pain in the limb due to seroma pressing on nerve. What modifer should be used within the 10 day global of the 10160?? I am using 79 for the 90 global on AAA repair but now I also have to have a modifer for the 10 global which is related.

    These were not staged bec he was to come back only if needed. I am stumped on this one! HELP

    Any ideas anyone

    Last edited by dpumford; 09-04-2009 at 09:19 AM. Reason: updating proc code

  2. #2
    Join Date
    Apr 2007
    Capital Coders, Columbia, SC


    Consider Modifier 58, staged or related procedure, since the patient did not actually return to the OR.

  3. #3


    I have added to my previous thread! Please HELP

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