Codapedia (TM) - The Free Encyclopedia for Medical Reimbursement
Join Our Community Here
It’s FREE!
Coding for Hospitalists


General

Author:
Codapedia Editor
Modifier 79
Citations: CMS transmittal,
Resources: No resources found
Total Reviews: 0
Current Rating: -na-

Modifier 79 is used to indicate that the physician performed a surgical service that required a return trip to the OR for an unrelated problem during the global post op period.  Modifier 79 is appended to procedures. See the CPT® book for the complete definition.  It is appended when:

  • A second surgery is provided to a patient by the same surgeon
  • The surgery requires a return to the OR
  • The patient is in a global period
  • The service is unrelated to the initial surgery

Using modifier 79 restarts the global period. 

Show that the second procedure was not related to the first by the documentation (indication, etc) and the diagnosis code submitted on the claim form.

CMS recently instructed carriers/ MACs  to increase their review of claims with this modifier.

Printable Version

If you liked this article, you might like these too...

Click Here to Comment, Clarify and Rate this Article

Medical Wellness Visits
About Codapedia |  Terms of Use |  Privacy Policy |  Management |  Advertise With Us |  Report Copyright Violation    Follow Us