tci Medicare Compliance & Reimbursement - 2007 Issue 22

MODIFIERS: Check Surgeon's Notes, Talk To Surgeon To Make Sure Modifier 58 Applies

Look for plan or expanded procedure to justify 58 modifier.All the world may be a stage, but not every surgery is staged. To make sure your surgeon is using the 58 modifier correctly, you should be checking that the second procedure has the proper relationship to the first.Many coders find the 58 modifier, for staged or related procedures during a global period, intimidating.  "It has several components, and sometimes you're not sure if the procedure you are working with fits in exactly," says Dianne Wilkinson, compliance officer and quality manager with MedSouth Healthcare in Dyersburg...

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