Difference Between 58 and 78 Modifier

Modifier 58, Staged or related procedure or services by the same Physician or other Qualified Health care Professional during the postoperative period.

When to Use modifier 58

Modifier 58 is used to identify those situations when a procedure or services may be staged(planned). While a return to the operating room for a related procedure
may be commonplace, a staged (planned) procedure or services may not be as routine. I will try to clarify the intent when to
exactly use modifier 58 with the procedure code. As per the CPT coding guidelines, Modifier 58 is assigned for any subsequent procedure,
Which is planned or has to be performed with the related original procedure. Following three key points should be remembered before
appending modifier 58 to the procedure codes.

Modifier 78

Unplanned return to the operating / procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period

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What is QMB / MQMB stands for?

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Need to check the Charges tab and double click on the Procedure Code line to open up the Charge Entry window. There is a Notes section on the right hand side. If there is a note typed, we need to select the type. Need to select field and select the appropriate type of note you are sending. Save the changes made Check all the procedure if submitted many procedure. Save the visit again and submit the claim.

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