tci Part B Insider - 2005 Issue 26

MODIFIERS: Can't Decide on a Modifier: Check the Global Period

Handy tips for distinguishing the 58 and 78 modifiersThe American Medical Association plans to issue clarifications on when to use modifiers 58 (Staged procedure) and 78 (Return to the operating room) soon (see PBI, Vol. 6, No. 24). But in the meantime, use these tips to correctly apply these tricky modifiers. Modifier 78 is usually for complications, such as bleeding, rupture or infection, says Laureen Jandroep with the CRN Institute in Absecon, NJ. The 58 modifier, by contrast, is for situations where a surgeon does a procedure followed by a more extensive procedure, such as a lumpectomy followed by...

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