Orthopedic Coding Alert

Don't miss out on extra pay when global period resets.Just because you routinely append modifiers to your claims doesn't mean you're filing correctly and getting the most appropriate pay. Brush up on your modifier know-how with these tips for three of the trickiest choices: modifiers 58, 78, and 79.Remember All Possible Uses for 58The descriptor for modifier 58 seems self-explanatory: Staged or related procedure by the same physician during the postoperative period. Coders sometimes trip, however, when they forget that modifier 58 actually applies to subsequent procedures that fall into one of three categories:Planned or anticipated (staged): "A good example would be an infected hand that has to be debrided several times over the course of a couple of weeks," says Elisabeth Janeway, CCP, CPC, CCS-P, president of Carolina Healthcare Consultants in Winston-Salem, N.C. "You won't use a modifier on the first procedure, but will add modifier 58 on the [...]