tci Part B Insider - 2012 Issue 3

Reader Question: Get to Know Global Modifiers

Question: Our physician performed a spinal procedure during the global period of a different spinal surgery. Which modifier applies?Answer: The answer may depend on whether the second surgery was a result of a complication from the first surgery or if it was because the first surgery did not provide the desired outcome. If the first surgery did not achieve the desired outcome, even if the second surgery was not planned, it is still staged, to get the original desired outcome, and so modifier 58 (Staged or related procedure or service by the same physician during the postoperative period)...

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