AAPC - Back to school
Results 1 to 2 of 2

Thread: modifier for repeat procedure for dislocation

  1. #1
    Join Date
    Apr 2007

    Question modifier for repeat procedure for dislocation

    AAPC: Back to School
    Patient seen on 8/3/11 in ER for dislocated elbow and "under conscious sedation, the dislocation was reduced. A posterior splint was applied" (24600 billed). On 8/9/11 patient had re-dislocation of elbow and same physician in ER "The patient was given conscious sedation. The elbow was extended and anterior pressure was applied to the olecranon and slow flexion and the reduction was felt to have occurred. Put a cast on with the elbow flexed to slightly beyond 90 degrees" (24600 to be billed) On 8/16/11 Unstable right elbow, status post posterior dislocation and reduction x2, same physician to do "Closed reduction with application of posterior splint to the elbow on further flexion" "The patient was taken to the operating room, given general mask anesthetic. With the elbow extended, gentle traction and slow flexion, the reduction could feel to occur at approximately 70 degrees...cast applied (dx 718.32 w/24605).

    Question is what modifer do I use with the two subsequent procedures? I've been advised that probably 58 but I'm not really sure that's correct. I bill for Dr who is specialst on call for hospital he is not ER Doc.

  2. #2
    Join Date
    Apr 2007
    Seattle First Hill


    I would use a -79.

    ~Kirsten, CPC

Similar Threads

  1. Repeat procedure - Provider did an I&D
    By soprano in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 12-06-2012, 11:22 AM
  2. Repeat Procedure
    By kcaskey03 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 03-12-2012, 01:11 PM
  3. Repeat procedure in ER
    By royena in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 06-20-2010, 04:50 PM
  4. Modifier: Repeat Procedure
    By Partha in forum Modifiers
    Replies: 1
    Last Post: 02-01-2010, 10:45 AM

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.