tci Part B Insider - 2008 Issue 36

Answer 'Yes' 3 Times, Apply Modifier 78

Return to the OR is a must If you want to be sure when you should apply modifier 78 -- instead of similar modifiers such as modifier 58 and modifier 79 -- you need only ask yourself three questions. If all the answers come up "yes," you are safe to assume that 78 is your modifier of choice. 1. Does the Procedure Fall Within a Global? You would only apply modifier 78 (Unplanned return to the operating/procedure room by the same physician following an initial procedure for a related procedure during the postoperative period) if a subsequent procedure...

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