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Modifier Help

  1. Default Modifier Help
    Medical Coding Books
    I have a patient who had a partial colectomy 44204 and excision of rectal tumor 45170 who returned to the OR for a porta cath 36561 within the global period. I would like to know what modifier to place on the 36561. Would 78 be appropriate because of the related diagnosis or 58 as it is for therapy following the origional surgery?

    Thanks,
    Christie Thomas-CPC

  2. #2
    Location
    Pottstown/Philadelphia
    Posts
    266
    Default
    I believe 78 is for out of the global period and would be where the patient came back unexpectedly. I say 58 as part of the post-op.

  3. #3
    Location
    St. Louis, Missouri
    Posts
    262
    Default
    I would use modifier 79. Placing the porta cath is so you can treat the disease and is unrelated to the previous procedure.

    Melissa Blow, CPC

  4. Default
    I too would use modifier 79 b/c you are placing port for chemotherapy, a new/seperate diagnosis.

  5. Default
    Another vote for 79 - the dxs may be similar but this surgical procedure is unrelated to the prior ones.
    C.Martin CPC GEN-SG

  6. Default
    I would use modifier 79 also.

  7. #7
    Location
    St. Louis, Missouri
    Posts
    262
    Default
    I also would use 79

    Melissa Blow, CPC

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