Tag Archive | "modifier 78"

Modifier 58 or 78? Master These Confusing Modifiers

Monday, August 13, 2018


Knowing when to use modifiers 58 and 78 isn’t easy. Base your choices on this straight-from-Medicare guidance to help ensure cleaner claims. Make Modifier 58 Your Choice for Anticipated Procedures Modifier 58 (Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period) is the focus […]

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If It’s Complicated, You Need Modifier 78

Friday, February 26, 2016

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When a postsurgical complication requires a return to the operating room for a Medicare patient, following modifier 78 guidelines can save you money. If the followup procedure was serious enough that it had to be performed in an operating room, endoscopy suite, or cardiac catheterization lab in a hospital or ambulatory surgery center, you may […]

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