CPT Modifier 78. Description: Unplanned return to the operating room by the same physician following initial procedure for a related procedure during the postoperative period.
When should modifier 78 be used?
Modifier 78 is used to report an unplanned return to the operating or procedure room, by the same physician, following an initial procedure for a related procedure during the post-operative period.
What does 78 modifier indicate? Modifier 78 is used to report the unplanned return to the operating/procedure room by the same physician following an initial procedure for a related procedure during the postoperative period.
What is the 79 modifier?
The American Medical Association (AMA) describes and defines the use of Modifier 79 as follows: Description: Unrelated procedure or service by the same physician during the postoperative period.
What is a 58 modifier?
Guidelines and Instructions. Submit CPT modifier 58 to indicate that the performance of a procedure or service during the postoperative period was either: Planned prospectively at the time of the original procedure (staged); More extensive than the original procedure; or. For the therapy following a surgical procedure.
What is a 77 modifier?
CPT modifier 77 is used to report a repeat procedure by another physician. Guidelines and Instructions. Submit this modifier to indicate that a basic procedure or service performed by another physician had to be repeated.
What is a 74 modifier?
Modifier -74 is used by the facility to indicate that a surgical or diagnostic procedure requiring anesthesia was terminated after the induction of anesthesia or after the procedure was started (e.g., incision made, intubation started, scope inserted) due to extenuating circumstances or circumstances that threatened …
What is modifier 76 used for?
Modifier 76 Used to indicate a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service.
What does modifier 80 stand for?
CPT Modifier 80 represents assistant at surgery by another physician. … This modifier is not intended for use by non-physicians assisting at surgery (e.g. Nurse Practitioners or Physician Assistants).
What is the 55 modifier?
Modifier 55 When a physician or other qualified health care professional performs the postoperative management and another physician performed the surgical procedure, the postoperative component may be identified by appending this modifier to the surgical procedure.
What is the modifier Xu?
• XU – “Unusual Non-Overlapping Service, the use of a service that is distinct because it does not overlap. usual components of the main service” Appropriate & Inappropriate Use of These Modifiers.
What is the 26 modifier?
Generally, Modifier 26 is appended to a procedure code to indicate that the service provided was the reading and interpreting of the results of a diagnostic and/or laboratory service. To help ensure the accurate adjudication of claims, we ask that you adhere to the following Modifier 26 guidelines.
What is a 59 modifier?
Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circumstances. … Only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used.
What is modifier 57 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 a 54 modifier used for?
Modifier 54 When a physician or other qualified health care professional performs a surgical procedure and another provides preoperative and/or postoperative management, surgical services may be identified by adding this modifier to the usual procedure code.
What is a 56 modifier?
Modifier 56 indicates that a physician or qualified health care professional other than the surgeon performed the preoperative care and evaluation prior to surgery.