What is the modifier for post op period?

What is the modifier for post op period?

Modifier 58 is used for a “staged or related procedure or service by the same physician during the post-operative period.”

What is the 79 modifier used for?

A new post-operative period begins when the unrelated procedure is billed. We follow the American Medical Association coding guidelines and require the use of Modifier 79 to show that the second procedure by the same physician is unrelated to a prior procedure for which the post-operative period has not been completed.

When should modifier 24 be used?

Use Modifier 24 on an E/M when: An unrelated E/M service is performed beginning the day after the procedure, by the same physician, during the 10 or 90-day post-operative period. Documentation indicates the service was exclusively for treatment of the underlying condition and not for post-operative care.

What is a 57 modifier used for?

Modifier 57 Decision for Surgery: add Modifier 57 to the appropriate level of E/M service provided on the day before or day of surgery, in which the initial decision is made to perform major surgery. Major surgery includes all surgical procedures assigned a 90-day global surgery period.

What is modifier 90 used for?

Modifier 90 Reference (Outside) Laboratory: When laboratory procedures are performed by a party other than the treating or reporting physician or other qualified health care professional, the procedure may be identified by adding modifier 90 to the usual procedure number.

Is modifier 79 a payment modifier?

Is this true, and will it affect my payment? Answer: You do need to append modifier 79 to the new procedure(s). Modifier 79 indicates that an unrelated service or procedure is performed by the same physician during the post-operative period.

Does Medicare use modifier 79?

In some cases (although seldom) the second surgery performed is inadvertently submitted to Medicare and paid before the first surgery is submitted to Medicare. In this situation, the CPT modifier 79 must be submitted with the first surgery performed.

When should you use modifier 57?

Modifier 57 is used to indicate an Evaluation and Management (E/M) service resulted in the initial decision to perform surgery either the day before a major surgery (90 day global) or the day of a major surgery.

When to use the postoperative modifier 79 in surgery?

The physician may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. This circumstance may be reported by using the modifier 79. (For repeat procedures on the same day, see modifier 76).

When to use modifier 24 after a surgery?

Use Modifier 24 with the appropriate level of E/M service. An unrelated E/M service is performed beginning the day after the procedure, by the same physician, during the 10 or 90-day post-operative period.

What are the different billing code modifiers for surgery?

Modifiers 58, 78, 59, 79, and 24 are billing code modifiers applied to surgery claims. They each have very specific, though related definitions. They often cause confusion, especially between modifiers 58 and 78, but also among 59, 79, and even 24.

When to use the global period modifier 58?

A new global period begins with each subsequent procedure, and usually there is no reduction in reimbursement. Modifier 58 may be used during the global surgical period for the original procedure only. It may not be used for staged procedures when the code description indicates “one or more visits” or “one or more sessions.”