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colesy
over 2 years
ago
Administrator
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Modifier –22 may be used with procedures, but CPT now explicitly prohibits the use of –22 with Evaluation and Management codes. Similarly, modifier –22 should not be used with Eye Codes in the series 92002-92014. A comment should be placed on the claim form to indicate increased procedural difficulty.
Modifier –58, “Staged or Related Procedure or Service by the Same Physician During the Postoperative Period,” There are three situations in which –58 might apply. One situation is when the second procedure is planned or anticipated. The next is when the second procedure is more involved than the first procedure. Finally, the modifier may be used when a therapeutic procedure follows another procedure, commonly a diagnostic procedure.
Modifier –78. 78 is the “complication” modifier. Complications that develop within the postoperative period following surgery that can be managed in the exam room are included in Medicare’s global payment for the procedure.
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