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repeat I & D in ER during global period

  1. #1
    Default repeat I & D in ER during global period
    Medical Coding Books
    Patient has a repeat I & D in ER two days after the initial I&D. Would modifier 58 be an appropriate code to use in this circumstance?

    Thanks for any help.

  2. Default Sounds like-78
    need more info. Was it a complication?

  3. #3
    documentation reads: previous treatment in the ED includes I & D abscess. Treatments since wound repair include oral antibiotics and regular soap and water washings. There has been bloody discharge from the wound. Redness status: right thigh has improved mildly.
    Packing intact on right thigh, erythema is well within marked region, however, remains 4 cm in diameter. There is a purelent draining present on the bandage removed.

    procedure: The area was prepped with hibiclens and locally anesthetized with 1% lidocaine with epi. An incision is already present secondary to I&D 2 days previous. Approximately 10 ml blood tinged pus expressed. The incision was left open with a drain in place. Strict sterile technique was used through procedure.

    Hope this helps.

  4. #4
    Grand Rapids Michigan
    IF the original condition is being treated and is related to the original procedure then it is modifier 58.

  5. #5
    thanks for your help.

  6. #6
    78 modifier implies a return to the operating room or procedure room

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