CPT Modifier · Surgery

Modifier 78

Unplanned return to OR for a related procedure during the post-operative period

✅ When to Use Modifier 78

Unplanned return to OR for a complication or condition related to the original surgery. Only the intraoperative work (work RVU) is paid. Does NOT restart the global period.

⛔ When NOT to Use Modifier 78

Do NOT use for planned staged procedures (use 58) or unrelated procedures (use 79).

📋 Documentation Requirements

Document the complication, its relationship to the original surgery, and the procedure performed.

Modifier 78 FAQ

What does modifier 78 mean? +

Unplanned return to OR for a related procedure during the post-operative period

When should I use modifier 78? +

Unplanned return to OR for a complication or condition related to the original surgery. Only the intraoperative work (work RVU) is paid. Does NOT restart the global period.

When should I NOT use modifier 78? +

Do NOT use for planned staged procedures (use 58) or unrelated procedures (use 79).

What documentation is required for modifier 78? +

Document the complication, its relationship to the original surgery, and the procedure performed.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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