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Post-op procedure/modifier question

  1. Default Post-op procedure/modifier question
    Medical Coding Books
    I am newly certified...a patient has a thyroidectomy which has a 90 day global surgical period...13 days later in the office(not O.R.) the same physician performs an incision and drainage of a seroma at the incision line. Help with modifier please? I know not 78 because he did not return to OR...I don't think 79 because it is related to surgery/same incision site...58 states staged/planned and this was not staged or planned. Carrier is MC. Can we bill for this incision/drainage of seroma with modifier (but which one?) Thanks.

  2. #2
    Milwaukee WI
    Default 58 modifier
    58 modifier - staged or RELATED procedure ...

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    58 would be the correct modifier

  4. Default Modifier

    I think here modifier 78 is more appropriate, as it is postoperative complication of the primary procedure.

    Dr. Poonam

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