Health Information Management

Tip: Use modifier -58 appropriately

APCs Insider, September 5, 2008

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Modifier -58 indicates a staged or related procedure or service that the same physician performs during the postoperative period. Don’t use it to report the treatment of a problem that requires a return to the operating room. The physician may need to indicate that a procedure or service performed during the postoperative period was:

  • Planned prospectively or at the time of the original procedure
  • More extensive than the original procedure
  • For therapy following a diagnostic surgical procedure

In these cases, report the appropriate CPT code for the staged procedure and append modifier -58. A new postoperative period begins when you bill the next procedure in the series.

(This tip was adapted from APC Answer Letter. To view the entire tip, click here.)

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1 comments on “Tip: Use modifier -58 appropriately

Kofer (2/20/2013 at 4:59 PM)
I am proud to be a member of the NEMT team as an IC. It is reiserhfng to be employed to a company that is so concerned with patient care, welfare and well being of all employees, provide clients with what they need, and still manage to thrive in these economic times. Hip Hip HOORAY for NEMT!!!


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