Proper reimbursement requires strong understanding of surgical modifiers

Asbell, Riva Lee
November 2008
Ocular Surgery News;11/10/2008, Vol. 26 Issue 21, p101
Academic Journal
The article looks at the most troublesome Current Procedure Terminology (CPT) modifiers which include modifiers 58, 78 and 79. It notes that Modifier 58 generates payment at 100% of the allowable by Medicare. Three clinical situations that warrant using modifier 58 are mentioned. Also discussed are the uses of Modifier 78 and Modifier 79.


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