Forum - Questions & Answers
Aug 30th, 2011 - KJMills 7
Modifier 78 - 58 in Global
Patient had Hemilaminectomy 8/12/11 L5-S1 left L4-5 right L3-4 left. Herniated disc w/ stenosis.
Patient sustained several falls a few days after surgery after attempting to urinate her a pop and began having pain and radiculopathy. MRI confirmed recurrent
disk hernation at L4-5 and L5-S1 and was taken back to the OR for revision laminectomy foraminotomy discectomy posterior lateral fusion interbody spacer instrumentation auto and allograft.
This is a more extensive procedure resulting from the fall. I am confused as to whether to append 78 or 58.
thanks