Tag: modifier 58

Postoperative Period Modifiers

Postoperative Period Modifiers in Medical Billing

In medical billing, modifiers play a vital role in ensuring accurate reimbursement, especially during the postoperative period. The postoperative period refers to the specific timeframe following a surgical procedure when related care is typically included in the surgical package and not separately reimbursable. However, certain situations require physicians to perform additional procedures or unrelated services […]
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Modifier 58 Versus 78 – Which Should You Use?

Modifier 58 Versus 78 – Which Should You Use?

Modifier 58 vs Modifier 78:  Modifier 58: Same underlying condition, planned or unplanned additional procedure. Modifier 78: New problem caused by the initial surgery (complication) requiring a return to the OR. Medical Coders often struggle to differentiate between modifier 58 (staged/related procedure) and modifier 78 (unplanned return to OR). Let’s break down the key differences […]
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