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Thread: Modifier to use when a different physician does surgery within global period

  1. #1
    Join Date
    Apr 2007

    Default Modifier to use when a different physician does surgery within global period

    AAPC: Back to School
    Can anyone advise me on how to code a return to the operating room by a different physician in our group within the global period? The first procedure was 50590(stone in the kidney) and the patient returned 2 days later and the codes were 52353 and 52332(stone in urethra). The modifier I would normally use refers to the same doctor. I would appreciate any help.

  2. #2


    I have always been told and I do it at our clinic with many dr's. That same physican also means within the same practice. So you should be able to use -58 if that is what you are using.

    Jessica Harrell, CPC

  3. #3
    Join Date
    Apr 2007


    Try -78 -- Return to OR for a related procedure during the post- op period.
    Susie Corrado, CPC
    ENT Coding/Billing

  4. #4
    Join Date
    Apr 2007


    Thank you for the information. That helps a lot because I was not sure if "same physician" would include different physicians in the same group.

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