Medycoding

What is Global Modifier or Global surgery modifier?

A global modifier is a code that indicates a service is not part of a global surgical package.

58,78,79 are the example of Global modifier.

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Explain Global modifiers?

Modifier 58 ( Staged or Related Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period):

It may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); 

(b) more extensive than the original procedure; or 

(c) for therapy following a surgical procedure. 

This circumstance may be reported by adding modifier 58 to the staged or related procedure. Note: For treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78.

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How to identify the procedure is planned or Stagged from medical record?

Give one example of above ?

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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) :

It may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). When this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (For repeat procedures, see modifier 76.)

Give one example of 78 modifier ?

 

Modifier 79 ( Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period) :

The individual 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 modifier 79. (For repeat procedures on the same day, see modifier 76.)

Give one example of 79 modifier ? 

 

Modifier 24 Unrelated Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional During a Postoperative Period:

The physician or other qualified health care professional may need to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) unrelated to the original procedure. This circumstance may be reported by adding modifier 24 to the appropriate level of E/M service.

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See more:

What is Global modifier?

Difference between 51 and 59?

Medicare modifier for Distinct Procedure : XS,XE,XU,XP
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