(What modifier is appended to indicate that during thepostoperative period, a procedure is performed that wasplanned,more extensivethan the original procedure, or done fortherapeutic reasons?)
Modifier58is used when a subsequent procedure during the postoperative period isstaged or relatedto the original procedure and meets one of these classic criteria:(1) planned/prospective (staged), (2) more extensive than the original, or (3) therapeutic following a diagnostic procedure. It signals that the later procedure is not an unplanned complication but part of a planned course of care or an escalation of treatment. This is different from modifier78, which is for anunplanned returnto the operating room/procedure room during the postoperative period for arelated procedure(often due to complications) and typically doesnotrestart the global period. Modifier26is theprofessional componentmodifier for certain diagnostic services, not a global surgical modifier. Modifier56is not the appropriate postoperative modifier for staged/related surgical services. For CPC exam accuracy, associate58with staged/planned/more extensive/therapeutic-after-diagnostic, and78with unplanned return to OR.
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