tci Medicare Compliance & Reimbursement - 2008 Issue 13

Revenue Booster: Nail Down Postsurgical Modifier Choice

Once you realize the differences between modifiers 58 and 78, selection can be a breeze If CPT can't guide you to the right postsurgical modifier choice, we've got just the advice for you. Despite the fact that CPT 2008 revised the text explaining modifier 58 (Staged or related procedure or service by the same physician during the postoperative period), many practices are still confused about how to interpret modifier 58 and when to use it rather than modifier 78. This year, CPT advised that you may append modifier 58 to staged or related procedures that were "planned or anticipated"...

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