'Modifier 58' presentation slideshows

Avoid the Top 10 Modifier Mistakes Modifier 58

Matching CPT code with an ICD 10 code, this would seem to be a very straightforward process but there are always variations/exceptions to everything. Sometimes, there are related services that the physician is performing, global periods to contend with, etc.

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How accurate you can use Modifier 58 in Medical Billing?

The modifier 58 is defined by CPT as u201cstaged or related procedure or service by the same physician during the post-operative period.u201d It may be necessary to indicate that the performance of a procedure or service during the postoperative period was a) planned or anticipated (staged); b) more extensive than the original procedure, or c) for therapy following a surgical procedure. This circumstance may be reported by adding modifier 58 to the staged or related procedure.

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How accurate you can use Modifier 58 in Medical Billing?

The modifier 58 is defined by CPT as u201cstaged or related procedure or service by the same physician during the post-operative period.u201d It may be necessary to indicate that the performance of a procedure or service during the postoperative period was a) planned or anticipated (staged); b) more extensive than the original procedure, or c) for therapy following a surgical procedure. This circumstance may be reported by adding modifier 58 to the staged or related procedure

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Matching CPT code with an ICD 10 code, this would seem to be a very straightforward process but there are always variations/exceptions to everything. Sometimes, there are related services that the physician is performing, global periods to contend with, etc. Modifiers will clarify extenuating circumstances, which should allow for payment when they otherwise may not. That said, the improper use of modifiers can be the cause of claim denials just as not using a modifier can be. When using modifiers, make sure you clearly understand what the modifier entails.

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