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Thread: Fx with manipulation after nonmanipulative fx

  1. #1

    Default Fx with manipulation after nonmanipulative fx

    AAPC: Back to School
    Scenario: Patient came in with a proximal humerus fracture on first visit. Code 23600 was charged out for fx care. Patient came in 10 days later and the fracture had displaced. Manipulation of the fracture was then performed. I plan on using 23605 but don't know which modifier to attach to it (-76,-52 or -79?)? Thanks!

  2. #2
    Join Date
    Apr 2007
    Long Beach, CA


    I would use the -58 (staged procedure - same physician - during global) modifier. In the description of the modifer in the Coders Desk Reference it states it can be used when the procedure "is more extensive than the original procedure." In this case I think it qualifies for that modifier.
    Denise Paige, CPC-COSC
    President, AAPC Long Beach Chapter

  3. #3
    Join Date
    Apr 2007
    Charm City - Baltimore


    I also would say -58 on this.
    Crystal, CPC, CCS-P

  4. #4


    i agree with the 58.

  5. #5
    Join Date
    Apr 2007
    Duluth, MN


    I agree as well with the 58 modifier
    Tina Wosmek CPC, COSC

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