tci E/M Coding Alert - 2018 Issue 3

Reader Question: Decide the Best Way to Use This E/M-Specific Modifier

Question: When are you supposed to report modifier 57? Is it a modifier for evaluation and management (E/M) services or procedures? Maryland Subscriber Answer: When the provider performs an E/M service for a patient that leads to surgery that day (or in the near future), you'll likely append modifier 57 (Decision for surgery) to the E/M code, relays Catherine Brink, BS, CMM, CPC, president of Healthcare Resource Management in Spring Lake, New Jersey. Never apply modifier 57 to a procedure code; it's for E/Ms only, and only in specific circumstances. The 57 modifier separates patient E/M encounters from major...

To read the full article, sign in and subscribe to tci E/M Coding Alert.

Stay informed, get answers to your E/M coding and documentation questions, and find the help you need to bank your deserved pay with your subscription to TCI’s E/M Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 500 articles
  • ALL years/issues back to 2013 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci E/M Coding Alert +Archives

free demo
request yours today
for any budget
sign IN
welcome back!