Modifier 58

Modifier 58 

"Modifier 58 is staged or connected procedure or service by an equivalent medico throughout the post-operative amount"

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It may be necessary to point that the performance of a procedure or service throughout the surgical amount was a) planned or anticipated (staged); b) a lot of in-depth than the first procedure or c) for medical aid following a surgical operation. This circumstance is also reportable by adding modifier 58 to the staged or connected procedure.

This modifier has multiple uses. Some individuals assume that the doctor must specifically state planned stages so as for a procedure to qualify for the 58 modifier. this is often not the case. the next procedure is often inside an expressed set up of care, or it is often inexplicit, corporal punishment a  lot of in-depth procedure as a result of the first procedure failed to attain the specified outcome as planned.

A new world amount begins with every succeeding procedure, and frequently, there's no reduction in compensation. Modifier 58 could also be used throughout the worldwide surgical amount for the first procedure solely. it's going to not be used for staged procedures once the code description indicates “one or additional visits” or “one or additional sessions.”

Note that Medicare needs a come to the OR  to use modifier 58, “unless the patient’s condition was therefore essential there would be shy time for transport.” The Medicare Claims process Manual, chapter 12, section 40.1 B, defines associate degree OR “as an area of service specifically equipped and staffed for the only real purpose of acting procedures. This term includes a viscus catheterization suite, an optical maser suite associate degreed a scrutiny suite.”

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