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We have a patient that had surgery in Texas and is coming home to do his post op. I am a little confused as to which modifier to use 55 or 58. It seems to me that the 55 modifier applies and that the surgeon should file the claim with a 54 modifier. I spoke with the surgeons office and they said they weren't filing with any modifier and that I should file all the follow up with a 58 modifier. She did finally say that if you file your claim and get denied then they would right a letter. Wouldn't it be a cleaner claim if we both used the right codes and modifiers to begin with. Thanks in advance for your help. Kathey