NESmith
Expert
Please help. I am getting alot of conflicting information on modifier 58 vr 78. I have a Wound Care physician that is doing a Oasis dermal replacement (CPT 15430) In his dictation he states that this is the first of a planned stage series. The problem is our billing dept is billing this cpt code with a 78 modifier every time he does this procedure and I think it should be billed with a 58 modifier, but my question is that if these staged procedure are billed with the 58 modifier will the provider be reimbursed or is this for just informational information and I was also told that this now starts the global period over. I thought the global was started over when billed with the 78 modifier and reimbursement is done with the cpt code billed with a 78 modifier. I hope this is not too confusing but at this point that is exactly what I am. Thanks