tci General Surgery Coding Alert - 2020 Issue Q1

Post-Op Period: 3 Tips Ensure Perfect Modifier 78 Claims

Distinguish 58, 79. When your surgeon performs a procedure during the postoperative period, you need to reach for the correct modifier to make sure your claim passes muster with your payer. Read on for our expert advice to help you achieve appropriate pay in these post-op puzzles. Tip 1: Meet 3 Requirements for 78 Sometimes your surgeon will need to return a patient to surgery during the postoperative period. You must identify those situations by using the appropriate modifier to alert payers that the procedure “has been altered by some specific circumstance but not changed in its definition...

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