Modifier -58 Versus -78 and -79: Proper Use Explained

Why This Topic Matters

Correct modifier selection affects claim processing, global period handling, and reimbursement for services performed after a prior procedure. The article also highlights the importance of documentation and diagnosis linkage in postoperative coding situations.

Article Sections

1. Modifier overview

   Introduces the CPT modifiers discussed in the article and the general postoperative setting in which they arise.

2. Defining a staged procedure

   Discusses staged services and how they are presented in relation to postoperative care and later procedures.

3. Related to original surgery, but not a complication

   Covers scenarios described as related subsequent services and contrasts them with other postoperative situations involving complications or unrelated care.

4. Use original diagnosis

   Addresses diagnosis linkage, documentation, and how later services may be associated with the original or a different clinical reason.