DecisionHealth, DecisionHealth - 2022 Issue 7 (July)

In 2020, modifier 78 use less frequent, and much less successful

Use of modifier 78 (Unplanned return to the operating room by the same physician following initial procedure for a related procedure during the postoperative period) has been in decline for some time. In 2020, as COVID depressed utilization across the board, 78’s claim numbers continued to decline — while its denial rates soared.

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