tci Part B Insider - 2020 Issue Q2

Part B Coding Coach: Add 3 Tips to Your Modifier 78 Claims Checklist

Hint: Know the nuances between modifiers 59, 78, and 79. Choosing the correct modifier can be a challenge, and the wrong choice can trip up your Part B claims. That’s why it’s critical you know which modifier to pick when your surgeon performs a procedure during the postoperative period. Read on for our expert advice to help you achieve appropriate pay in these post-op puzzles. Tip 1: Meet 3 Requirements for 78 Sometimes your surgeon will need to return a patient to surgery during the postoperative period. You must identify those situations by using the appropriate modifier...

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