How much is Allowed During the Global Period Using Modifiers 58, 78 and 79
Modifier 58
- planned at the time of the original procedure, or staged;
- it is more extensive than the original procedure; or
- a therapy following a diagnostic surgical procedure.
*** DO NOT use Modifier 58 if the Procedure is Converted from Laparoscopic to Open Procedure
Reimbursement: 100% of the allowable amount
Modifier 78
Reimbursement: Likely up to 80% of the allowable amount; why? well, its because it is related to the procedure that is within the global period.
Modifier 79
Reimbursement: 100% of the allowable amount
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