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Thread: 79 vs 58 modifier

  1. #1
    Join Date
    Apr 2007

    Default 79 vs 58 modifier

    AAPC: Back to School
    A patient is scheduled for Supartz injections during post op period of arthroscopic surgery. Trying to determin is this would be considered 58 even though not staged, or 79 unrelated but is on the same knee?

  2. #2
    Join Date
    Apr 2007
    Greeley, Colorado


    Neither. 20610 will be inclusive to the global period for the knee procedure. The medication is covered, but not the administration.
    Lisa Bledsoe, CPC, CPMA

  3. #3


    I agree with Lisa.

  4. #4
    Join Date
    Apr 2007


    If the physician dictated in his operative report that the injections would be for a problem other than the problem treated with the scope you can bill for the injections with a 58 modifier. There has been a few questions about this topic and I was too thinking not billable but Margie put some info out-I will try to find it. Hope this helps.

  5. #5
    Join Date
    Apr 2007


    Thank you for replying!! Any additional info you find out, please let me know.

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