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MODIFIERS

Lina Posted Tue 28th of February, 2017 10:14:39 AM
Hi, I have a questions regarding modifiers for the surgery. Example: "Patient came in for lesion destruction in the mouth, but had also other lesions in different areas to be destructed, and that could not be done at the same time in terms of patients comfort and pain'. So to return to the same procedure but at the different area within couple of days is I believe a stage procedure but not sure. What modifier do I apply? Thank you in advance.
SuperCoder Answered Wed 01st of March, 2017 07:42:03 AM
Hi A specific answer in this case would depend on the specific details of the subsequent procedure performed. However, as a general guideline, it is important to determine whether a procedure is staged, related, or unrelated. For determining this, one should consider the reason for original surgery and for subsequent procedure. Modifier 58, Staged or related procedure or service by the same physician during the post-operative period, may be appended with codes for staged or related surgical procedures done during the postoperative period of the first procedure. Modifier 58 indicates that the performance of a procedure during the post-operative period was: 1. Planned prospectively or at the time of the original procedure 2. More extensive than the original procedure or 3. For therapy following a diagnostic surgical procedure You may like to check the following link for your reference: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/GloballSurgery-ICN907166.pdf Hope this helps. Thank you.

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