What is medical code 58?

Asked by: Shania Witting  |  Last update: March 14, 2025
Score: 5/5 (68 votes)

Denial code 58 is used when the payer determines that the treatment or service was provided in a location that is considered inappropriate or invalid according to their guidelines.

What is hospital service code 58?

To start, modifier 58 is a surgical-specific modifier, used to indicate a staged or related procedure or service by the same physician during the postoperative period.

What is procedure code 58?

Lay Term. Append modifier 58 to a procedure occurring during the postoperative period when the procedure is planned or staged.

What is the reason code 58?

Response Code: 58 - Function Not Permitted to Terminal. The customer's card issuer has declined the transaction as this credit card cannot be used for this type of transaction. This may be associated with a test credit card number. The customer should use an alternate credit card, or contact their bank.

What is modifier 58 in medical coding?

Modifier 58 is defined as a staged or related procedure performed during the postoperative period of the first procedure by the same physician. A new postoperative period begins when the staged procedure is billed.

3 Common Denial Codes in Medical Billing

33 related questions found

Which scenario qualifies for modifier 58?

Modifier 58. Modifier 58 Staged or related procedure or service by the same physician during the postoperative period may be necessary to indicate the performance of a procedure during the postoperative period was: Planned prospectively at the time of the original procedure, or “staged;”

What does 59 modifier mean?

Modifier 59 Distinct Procedural Service indicates that a procedure is separate and distinct from another procedure on the same date of service. Typically, this modifier is applied to a procedure code that is not ordinarily paid separately from the first procedure but should be paid per the specifics of the situation.

What is a code 58?

Denial code 58 is used when the payer determines that the treatment or service was provided in a location that is considered inappropriate or invalid according to their guidelines.

What is condition code 58?

SNF readmission when patient previously received Medicare covered SNF care within 30 days of current SNF admission. 58. SNF patient terminated MA Plan enrollment. Providers report this code to waive 3-day qualifying stay requirement.

What does error 58 mean?

Transaction Not Permitted to Cardholder: What Does it Mean? Error code 58 means the transaction is not permitted to the cardholder. This error code means that the customer's card issuer cannot process the transaction. It also means the customer can't use this credit card for this transaction.

What is authorization code 58?

58 – Transaction not permitted - Terminal

This code will appear if you are attempting a transaction and your merchant processing account is not properly configured. Contact your merchant provider and make sure your terminal/POS is set up to receive the type of payment you're attempting.

What is GM code 58?

Trans Fluid Temperature sensor circuit error (low voltage)

What is the fault code 58?

Fault Code 58 indicates an electrical fault within the Output Shaft Speed Sensor circuit or a speed value or rotational direction that is inconsistent with the calculated gear ratios.

What do the codes mean in a hospital?

CODE RED- FIRE / AT LOCATION ANNOUNCED. • CODE BLUE- MEDICAL EMERGENCY. • CODE WHITE- PEDIATRIC MEDICAL EMERGENCY. • CODE YELLOW- BOMB THREAT. • CODE GREY- COMBATIVE PERSON.

What is the most serious code in a hospital?

"Code blue” is used to indicate that a patient requires resuscitation or is in need of immediate medical attention, most often as the result of a respiratory arrest or cardiac arrest. When called overhead, the page takes the form of "Code blue, [floor], [room]" to alert the resuscitation team where to respond.

What is a remark code 58?

Remark code N58 indicates that the claim has been processed with an issue related to the patient liability amount. Specifically, it means that the patient liability amount is either missing, incomplete, or invalid.

What is decline code 58?

Error code 58, also known as “transaction not permitted to terminal,” indicates that the card issuer has declined the transaction because the card being used is not allowed for that type of transaction on the specific terminal.

What is error code 58 on operating system?

Operating system error code 58(The specified server cannot perform the requested operation)". Might be a Kerberos double-hop issue where the IIS account has authenticated, SQL Server is using the IIS account credentials to access the share, but authenticating with this token fails.

What is the place of service code 58?

Code 56 – Psychiatric Residential Treatment Center. Code 57- Non=residential Substance Abuse Treatment Facility. Code 58- Non-residential Opioid Treatment Facility.

What is co 58 reason code?

CO58 Payment adjusted because treatment was deemed by the payer to have been rendered in an inappropriate or invalid place of service. CO59 Charges are adjusted based on multiple surgery rules or concurrent anesthesia rules. CO6 The procedure/revenue code is inconsistent with the patient's age.

What is modifier 58 used for?

Submit CPT modifier 58 to indicate that the performance of a procedure or service during the postoperative period was either: Planned prospectively at the time of the original procedure (staged); More extensive than the original procedure; or. For the therapy following a surgical procedure.

Can modifier 58 and 59 be billed together?

Shouldn't they be billed with modifier 58? No, because although the “same day” could technically be called part of “the post-operative period,” the definition of modifier 59 clearly focuses on “the same day.” That's much more specific than “post-operative.” Further, this is a non-E/M service.

What is the CPT code for colonoscopy with biopsy?

45380 – Colonoscopy, flexible; with biopsy, single or multiple. 45384 – Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps.