AMA CPT® Assistant - 1997 Issue 6 (June)

Modifiers, Decision for Surgery, -57 (Q&A) (June 1997)

June 1997 page 11b Coding Consultation Modifiers, Decision for Surgery, -57 (Q&A) Question In the May 1997 Modifier Issue of the CPT Assistant, the illustration provided for the use of modifier -57, Decision for Surgery, used a consultation E/M visit as an example of the type of E/M service provided. Is the -57 modifier restricted to use with consultation E/M codes only? AMA Comment No. The -57 modifier is not limited to use with the consultation E/M codes. As the definition of the -57 modifier states: "An evaluation and management service that resulted in the initial decision to...

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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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