Ccgerson
Guest
I'm a little confused what modifier to use in this instance: The patient has chronic osteomyletis of tibial plateau/ knee, after a traumatic injury requring ORIF tibia a year ago. He has diabetes and other comorbities that put him at risk for OM. HE's been the OR 4 times in the past year. This time, he is admitted for I&D knee (debridement of bone/ tibial plateau - CPT 11044). Is this modifier 58 or 78? Can his recurrent infections be considered compications, if it's in large part due to his comorbidities? My co-worker has been using modifier 58 for previous surgeries. That' s my first question, which modifier to use for this surgery.
Second question- The patient then has another more extensive surgery 2 days after the debridement, 27310- with a 90 day global. The debridement 2 days earlier has no global. Do I use a modifier for this second surgery?
I think I should use 58 for first surgery and subsequent surgery, but not positive.
Thank you!
Second question- The patient then has another more extensive surgery 2 days after the debridement, 27310- with a 90 day global. The debridement 2 days earlier has no global. Do I use a modifier for this second surgery?
I think I should use 58 for first surgery and subsequent surgery, but not positive.
Thank you!