tci Part B Insider - 2007 Issue 17

Keep An Eye On Your Surgeons' Use Of the 78 Modifier

A previous issue of Part B Insider said that carriers have investigated some providers for using the 78 modifier for post-operative complications treated in the office setting (see PBI, Vol. 6, No. 26). Because the 78 modifier states -return to the operating room,- you should use it only when the physician actually returns to the OR. Coding experts tell PBI they-re not currently aware of any modifier 78 audits, but that doesn't mean you should relax. It -seems reasonable- that the carriers would look into modifier 78 use, says Dianne Wilkinson, compliance officer and quality manager with MedSouth...

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