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modifier 58-procedure

  1. #1
    Default modifier 58-procedure
    Exam Training Packages
    procedure: 2nd surgery--removal of packing of left dorsal wrist and hand wound with repeat irrigation of skin, subcutaneous tissue and muscle.

    1st procedure: 25028, I&D of forearm/wrist

    Looking at 11010 with modifier 58

    Not sure if modifier 58 would be more appropriate than 78.

    Thank you for any help.

  2. Default
    Sounds like it was a planned procedure. I'd use modifier 58.


  3. #3
    11010 involves debridement of an open fracture or dislocation.

    Without the medical record, it sounds like this packing/dressing change is included in the 25028 global.

  4. #4
    Columbia, MO
    I agree with MOJO, without the operative notes, and based solely on the information provided, the second procedure is inclusive in the global.

    Debra A. Mitchell, MSPH, CPC-H

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