AHA Coding Clinic® for HCPCS - 2013 Issue 4

Modifier 58: Staged or related procedure

Reporting procedures and services performed in the outpatient setting may create a challenge for coders when a return to the operating room for a related or unrelated procedure or service becomes necessary. While a return to the operating room for a related procedure may be commonplace, a staged (planned) procedure or service may not be as routine. Modifer 58, Staged or Related Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period, can be utilized to identify those situations when a procedure or service may be staged (planned). This article will attempt...

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