March 5, 2020
We have a patient who is a year status post breast reconstruction and not we are going to do fat grafting to her right breast. We typically do two to three stages. I was told to use modifier 58, for staged procedure, on all claims even the first one. Is this correct?
No. Modifier 58 is used on the second and subsequent claims. It is not necessary on the first claim because you are not yet in a global period.
*This response is based on the best information available as of 03/05/20.