tci General Surgery Coding Alert - 2008 Issue 12

Look to Underlying Condition When Applying Modifier 58

-More extensive- might not mean what you think When making a decision to apply modifier 58 for a subsequent procedure during the global period, you don't need to know if the patient returned to the operating room, or even if the surgeon planned the procedure at an earlier date. You need only know if the surgeon performed the initial and subsequent procedures for a related condition. Choose 58 for -Go Beyond- Procedures You may consider modifier 58 (Staged or related procedure or service by the same physician during the postoperative period) fora procedure or service the surgeon performs during...

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