- Although there is a single payment for surgical procedures that have 0, 10 and 90 global days, there are frequent instances in which the surgeon performs an additional service in the post op period, that may be reported separately, and be paid.
- These will require a modifier. This article discusses only four modifiers–see the coding guide mentioned in the next paragraph for a comprehensive explanation of surgical modifiers.
The global surgical package provides a single payment for certain preoperative, intraoperative, and postoperative services. You can access our coding guide on the global package here. If you haven’t downloaded the guide, take the time to do that now.
This article will discuss four situations in which1 services may be reported in the postoperative period and the modifiers to use when reporting them, in more detail than in the billing guide mentioned above. This article addresses three surgical modifiers (58, 57, and 79) and one E/M modifier (24). Also see related resources at the end of this article.
Surgical Modifier 58
Modifier 58: Staged or Related Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period: It may be necessary to indicate that the performance of 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 maybe reported by adding modifier 58 to the staged to related procedure.
Login to read the rest of this article
Don’t have a login? Become a member, or learn more about the benefits of membership by clicking on the link below.