tci E/M Coding Alert - 2017 Issue 3

Modifiers: Master 4 Rules for Proper Modifier 27 Use

Use modifier 27 in hospital outpatient settings only. Turn to Appendix A in the AMA 2017 CPT® manual, and you’ll see multiple modifier options, including those you can append to your evaluation and management (E/M) services. In past issues, we’ve focused on modifier 25 (Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service). But, we would be remiss not to highlight another equally important modifier — modifier 27 (Multiple outpatient hospital E/M encounters on the same date). Unpack modifier...

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