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Modifier 58 or 78?? Experts where are you???

Would someone please assist me with understanding how an in office surgical treatment of a complication within a post op period should be billed? The AMA states that complications, which occur within...

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Re: Modifier 58 or 78?? Experts where are you???

Will someone please help me out with this? I know that there is someone out there who has a clearer understanding ...Read More

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Re: Modifier 58 or 78?? Experts where are you???

Expert in my own mind, but here goes....Use 58 when the second procedure is related to the underlying condition. For example, for applying a new cast in the post-op period of a fracture or a trans-met...

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Re: Modifier 58 or 78?? Experts where are you???

In reply to question #1:When the 2nd procedure is due to a surgical complication (such as infection, hematoma, etc.), and it's still within the Global - use the -24 modifier to take it out of the...

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Re: Modifier 58 or 78?? Experts where are you???

Thank-you for your responses NaGahl and 1voice2003. My question however still remains: Is the use of the modifier -78 appropriate for a surgical complication addressed in the surgery room of an office...

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Re: Modifier 58 or 78?? Experts where are you???

In my CPT book it states: "When this subsequent procedure is related to the first, and requires the use of the operating room, it may be reported by adding the modifier '78' to the related...

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Re: Modifier 58 or 78?? Experts where are you???

OK Leslie J,First thank-you very much for responding to my questions.This is where the part b to my question stems from:If modifier -78 is not appropriate because of the OR being included in the...

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Re: Modifier 58 or 78?? Experts where are you???

Just in case anyone else was monitoring this thread I believe that I've found the answer to my question ----- Medicare does recognize the fact that a physician's office may have an OR (evident in the...

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