Keep your critical coding and billing tools with you no matter where you work.
Create your Find-A-Code account today!
tci Part B Insider - 2011 Issue 8
Reader Questions: Planning Determines Difference Between Modifiers 58, 78
Question: In December, a patient had extracorporeal shock wave lithotripsy, which carries a 90-day global. This was for a ureteral stone. The patient returned in February with pain and an x-ray showed the stone unchanged in the ureter. Therefore, the urologist performed a ureteroscopy and stone extraction. I billed this to the insurance with a 58 modifier, but it is being denied. How should I be coding instead?
Answer: You are still in the 90-day global of the extracorporeal shock wave lithotripsy (ESWL), but you are now providing a more invasive surgical procedure. Your coding for the treatment of...
To read the full article, sign in and subscribe to tci Part B Insider.
Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4800 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.