tci General Surgery Coding Alert - 2019 Issue Q3

Modifier Mastery: Chart These Surgical Examples for Modifier 58 Victory

Pre-planning exemplifies staged procedures. You might lose the procedure pay you deserve if you fail to use modifier 58 (Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period) when you should. Here’s why: Payers will bundle procedures performed during the post-op period of a prior procedure unless you provide a legitimate reason why they should not. One of those legitimate reasons is if the second procedure was planned or anticipated at the time of the original procedure — and modifier 58 is the way to communicate that...

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