tci Part B Insider - 2015 Issue 2

Reader Question: Second Surgical Group Doesn't Warrant Repeat Modifier

Question: Our patient’s hip prosthesis got infected and he presented to the OR in December for treatment by another surgeon (who is not part of our group). Our surgeon then took the patient to surgery yesterday after she had a hip dislocation and he added modifier 78 because she’s in the global period of the December procedure. However, I don’t agree that modifier 78 is necessary since the first surgeon is not in our group or under the same tax ID. Who is correct? Answer: You are. Modifier 78 (Unplanned return to the operating/procedure room by...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.