tci General Surgery Coding Alert - 2005 Issue 3

Modifiers in Action: Related and/or Anticipated Procedures Call for -58

2 case studies illustrate the meaning of a staged procedure To use modifier -58 properly, you cannot simply label a postoperative procedures "staged" or "planned" after the fact because the surgeon realizes he is going to have to do more work. Rather, you must show that the surgeon planned a supplementary service, or that the supplementary service was required to complete treatment begun at an earlier date.  To better clarify proper use of modifier -58, consider two examples: Case 1: Biopsy Followed by Mastectomy You should apply modifier -58 (Staged or related procedure or service by the same...

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