Health Information Management

Q&A: Avoid modifier -58 in the ED

APCs Insider, February 27, 2009

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

Q. Please give an example of when to use modifier -58 in the ED.

A. It’s hard to think of a situation in which you would use this modifier in the ED, as you would typically use it for staged or related procedures during a postoperative period. EDs refer surgical procedures performed by ED physicians out to a specialist for follow-up.


When patients come back to the ED for a recheck instead of going to their private physician or specialist, you should charge an ED visit level using the hospital’s individual ED facility assessment criteria.

Editor’s Note: This Q&A is adapted from the HCPro newsletter Briefings on APCs, February, 2008.



Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

Most Popular