tci Part B Insider - 2008 Issue 11

PART B REVENUE BOOSTER: Nail Down Your Modifier Choice When Deciding Between 58 and 78

Once you realize the differences, selection can be a breezeIf CPT can't guide you to the right postsurgical modifier choice, we-ve got just the advice for you. Despite the fact that CPT 2008 revised the text explaining modifier 58 (Staged or related procedure or service by the same physician during the postoperative period), many practices are still confused about how to interpret modifier 58 and when to use it rather than modifier 78. This year, CPT advised that you may append modifier 58 to staged or related procedures that were -planned or anticipated- at the time of the...

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