Sunday, April 10, 2016

Surgical Mofiers 50, 52 , 57, 58 When to use

Modifiers

Use the following modifiers, as applicable:

Bill Use Modifier Other Information


Bilateral surgery 50  Refer to the Bilateral Services and CPT Modifier 50 Payment Policy for billing directives


Reduced service 52 Use with CPT code representing the surgery(s) performed


Attempted service (discontinued procedure) 53

Decision for surgery 57 Use with evaluation and management code when appropriate


Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period 58  Use with procedure performed within the global period of another surgery when appropriate


Assistant surgeon 80, 81, 82, or AS • Use with CPT code representing the surgery(s) performed • Bill this modifier in the first modifier field

Co–surgery 62


Team surgery 66 • Use with CPT code representing the surgery(s) performed
• Attach operative notes
• Bill this modifier in the first modifier field


Repeat procedures by the same physician 76 Use with a repeat of a same procedure performed within the global period when appropriate


Return to the operating room for a related procedure during the postoperative period 78   Use when a related procedure requires a return trip to the OR by the same physician within the global period of the first surgery when appropriate


Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period 79 Use when performing an unrelated procedure during the global period of a previous surgery

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