Modifiers -58, -78 and -79: Here's How to Choose the Right One

Why This Topic Matters

Correct modifier selection can affect whether services are bundled, separately payable, or denied, so understanding the article helps readers evaluate postoperative claim handling and documentation needs.

Article Sections

1. Use -58 for Related and/or Anticipated Procedures

   Discusses the first modifier in the postoperative context and the types of situations the article associates with it. Includes general discussion of staged, related, and anticipated services.

2. Don't Be Confused by 'More Extensive'

   Expands on the prior section by addressing how the article frames more extensive follow-up surgery during the global period. Uses a broad clinical example to illustrate the topic.

3. If It's a Complication Turn to -78

   Covers the second modifier and the article's discussion of postoperative care related to complications and return-to-OR scenarios. Also notes documentation and payer considerations.

4. Apply -79 for Unrelated Procedure Same Physician

   Explains the third modifier as discussed in the article, focusing on unrelated services during the postoperative period. Includes general mention of associated evaluation and management services and payer variation.