General Surgery Coding Alert - 2008 Issue 11
PART B REVENUE BOOSTER: Nail Down Your Modifier Choice When Deciding Between 58 and 78
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Article Overview
This article is a practical coding primer focused on postoperative modifier selection in CPT-based professional billing. It explains the broad differences between two commonly confused modifiers, when each is generally considered in relation to postoperative care, and why documentation, setting, and payer context matter. The discussion is aimed at coders, billers, and practice staff who need to understand the subject at a high level before reviewing the full guidance.
Why This Topic Matters
Choosing the wrong postoperative modifier can affect claim processing, reimbursement, and compliance. This topic is especially relevant when a follow-up service occurs during a global period or when a subsequent procedure is linked to an earlier surgery.
What You Will Learn
- How the article frames postoperative modifier selection in CPT billing
- Why postoperative documentation and clinical context are important
- How the article distinguishes between broadly different types of follow-up procedures
- What kinds of payer and setting considerations are discussed
- Why the article emphasizes communication with the operating physician when records are unclear
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle personnel
- Practice administrators
- Physician office staff
Modifiers Discussed
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