E/M Coding Alert - 2016 Issue 2
Modifier 58: Identify Intention for Staged Procedures
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Article Overview
This article covers how modifier 58 is discussed in the context of staged or related procedures during the postoperative period, with attention to how it differs from other postoperative modifiers and how timing and procedure planning affect reporting. It is aimed at coders and billing professionals who work with surgical global periods, postoperative returns, and procedure sequencing. The article includes broad guidance, examples from surgical care, and references to related modifiers and procedure code ranges.
Why This Topic Matters
Accurate modifier selection affects how postoperative services are represented in claims and helps distinguish planned follow-up care from other types of return procedures.
Article Sections
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Save 58 for ‘Planned’ Procedures
Discusses postoperative staging in general terms and introduces when modifier 58 is considered in relation to planned or anticipated follow-up care. Includes a clinical example and related procedure references.
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Avoid Attaching the Wrong Modifier
Compares modifier 58 with other postoperative modifiers and reviews the broad issue of selecting the appropriate modifier for related return services during the global period.
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Additionally
Addresses how the initial procedure’s global period affects whether a postoperative modifier is needed for a subsequent service.
What You Will Learn
- The general purpose of modifier 58 in postoperative scenarios
- How modifier 58 is distinguished from other postoperative modifiers
- Why procedure timing and staging matter in postoperative reporting
- How the global period of an initial procedure affects later service reporting
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle staff
- Surgical coding professionals
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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