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Modifier 58 - Can someone provide me

  1. #1
    Location
    Overland Park, KS
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    Default Modifier 58 - Can someone provide me
    Exam Training Packages
    Can someone provide me please with a clinical example of the use of modifier 58 in a family practice physician's office? Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  2. Default Modifier 58
    I founf this chart I hope it helps:
    http://www.lamedicare.com/provider/d...flow/mod58.pdf

  3. #3
    Location
    Overland Park, KS
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    Default
    Thanks so much!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  4. #4
    Default modifier 58
    I would suggest visiting the Palmetto GBA site and examples are given of when to use--and not use--58. From the home page, select your state and then "modifier look up" scroll to modifier 58 and then read the examples.

  5. #5
    Location
    Overland Park, KS
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    Default
    Thanks so much!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  6. #6
    Location
    Overland Park, KS
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    Default
    Thanks everyone! The help has been great, but most of these examples relate to major surgeries. Can someone provide me with an example of when a family practice physician might use this modifier in the office dealing with a minor surgery of 10 days? Thanks.
    Last edited by dballard2004; 03-22-2010 at 06:45 AM.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  7. #7
    Location
    Milwaukee WI
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    4,466
    Default Suture removal under anesthesia
    Well, this wouldn't be done in the office, but it is a minor procedure.

    Child falls and cuts lip/face. Sutures placed. Due to age and anxiety, patient is taken to the OR 5 days later for suture removal under anesthesia. You would use the -58 modifier on the suture removal.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  8. #8
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    Thanks so much for the help!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

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