Helpful hints and common mistakes: Correct use of -58 vs. -78

Why This Topic Matters

Correct modifier selection affects claim handling, global period treatment, and payment processing. The article is relevant because it highlights a frequent source of coding error in postoperative scenarios and emphasizes the need for complete clinical documentation.

Article Sections

1. Using modifier -58 in postoperative care

   This section discusses situations in which a postoperative service may be reported in relation to staged, related, or more extensive follow-up care. It also emphasizes the importance of reviewing documentation and operative notes.

2. Distinguishing modifier -58 from modifier -78

   This section compares the two modifiers in the context of return-to-procedure scenarios, global period implications, and postoperative complications. It focuses on how timing and the nature of the follow-up service influence review of the chart.

3. Documentation review and coding accuracy

   This section reinforces the need to examine progress notes, pre-operative notes, and post-operative notes before making a coding decision. It also highlights communication with the physician when information is incomplete.