AMA CPT® Assistant - 2006 Issue 5 (May)

Modifiers (May 2006)

May 2006 page 18c Modifiers, 57 (Q&A) Question Can you provide the intent and an example of the appropriate use of modifier 57, Decision for Surgery? AMA Comment Modifier 57 is intended to be reported for an evaluation and management (E/M) service that resulted in the initial decision to perform the surgery, whether on the date of the procedure or another date of service, and may be identified by appending modifier 57 to the appropriate level of E/M service. Modifier 57 provides a means of identifying the E/M service that results in the initial decision to perform the...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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