Surgical Coding: Modifiers 58, 78, and 79
SURGICAL MODIFIER CHOICES
Surgery Modifier Choices are Key to Surgery Reimbursement
Surgery modifiers are a powerful tool that can either increase or reduce the value of your services. Either way, these numbers change the definition of the surgery code you’re reporting. So, if you’re not sure of the rules, you’re putting yourself at risk for undercoding and may be hurting your bottom line when it comes to surgical reimbursement.
Surgical Reimbursement: 3 Questions Clinch Your Decision to Apply 78
Modifier 78 is often confused with similar modifiers such as modifier 58 and modifier 79. To ensure you are using the correct surgery modifier, ask yourself three questions. If all the answers are “Yes,” modifier 78 is the one to use.
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- Free updates on CPT, ICD-9, HCPCS, Medicare, NCCI edits, and ICD-10.
- Discounts on 3rd party offers