Hello All,
I need help!
Recently one of our surgeons has requested that we start using modifer 58 for the post operative X-Ray on closed reduction procedures.
It is my understanding that we would use the radiology cpt code with 2 units. My thought is, when listing a closed reduction cpt code, the insurance companies would understand that there is a pre-operative X-Ray to determine the fracture, & then the post-operative X-Ray to verify that the bones were set properly.
Modifier 58 states, "Staged or related procedure or service by the same physician during the postoperative period". Is a diagnotic lab (X-Ray) considered a procedure or service?
Please help!
I need help!
Recently one of our surgeons has requested that we start using modifer 58 for the post operative X-Ray on closed reduction procedures.
It is my understanding that we would use the radiology cpt code with 2 units. My thought is, when listing a closed reduction cpt code, the insurance companies would understand that there is a pre-operative X-Ray to determine the fracture, & then the post-operative X-Ray to verify that the bones were set properly.
Modifier 58 states, "Staged or related procedure or service by the same physician during the postoperative period". Is a diagnotic lab (X-Ray) considered a procedure or service?
Please help!