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I have a patient that is coming back in during the post op period for an I&D, and the doctor has redone the procedure. Is this considered part of the follow up care, or may we bill again with a modifier?
This would not be part of the global surgical package, as I am assuming a complication arose necessitating the need for a second I&D (infection, etc.). You can bill for another I&D, it does not appear modifier 58 would be necessary/indicated.
If you are performing the exact same procedure (same CPT) within the global period of the first case, then you may want to use modifier 76 for repeat procedure. This tells the payer that you are not submitting a duplicate but that a second procedure was performed.