Results 1 to 3 of 3

CPT -58/62 or CPT -62,58?

  1. Default CPT -58/62 or CPT -62,58?
    Medical Coding Books
    Which order? Thank you! Linda

  2. Default
    I've been told that when you have multiple modifiers, you list the modifier that effects reimbursement first. The problem I have with that is that alot of modifiers effect reimbursement!

    I guess in this example you could say that -62 should go first because this modifier directly effects reimbursement and -58 is just telling the payer that this was a planned procedure during the global period.

    Of course, depending on what kind of code editing software you have, the charge may hit an edit if the -58 is not first because you will be billing for a procedure during a global period.

    I say go with 62/58 and see what happens.

    Lisi, CPC

  3. #3
    I really think that in this case 58 should go first. Because if the patient is in the post op period, and a related surgery is billed, it will most likely deny global without a modifier 58 (or 78 or 79). 62 will reduce your payment, but the lack of it won't cause your claim to deny. I believe you do want to put the ones that affect reimbursement first, but you want to prevent an unnecessary denial, so put the modifier that will do that first. At least that's what I think anyway.

Similar Threads

  1. Does cpt code 64450 include cpt s0020?
    By micki127 in forum Anesthesia
    Replies: 1
    Last Post: 04-23-2014, 09:40 AM
  2. Opinion on physicians supplying surgical cpt cpt codes
    By ORTHO1 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 02-17-2010, 03:15 PM
  3. Modifier for coding CPT 64612 & CPT 64613 on same day
    By anuja.devasthali in forum Modifiers
    Replies: 2
    Last Post: 08-21-2009, 11:33 PM
  4. Coding for CPT 97140 & CPT 97035
    By neha.bhatnagar in forum Modifiers
    Replies: 5
    Last Post: 06-09-2009, 11:01 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.