tci General Surgery Coding Alert - 2005 Issue 12

Here's How to Keep Your E/M Modifiers Straight

Assign 57, not 25, for E/M prior to a major surgical procedureIf your surgeon provides an E/M service on the same date as, or during the global period of, another procedure or service, you-re going to have to append a modifier to the  E/M code. To be sure of your choice--and to differentiate between modifiers 25 and 57--ask yourself two questions. Question 1: Does the E/M Follow Another Service? When an E/M service occurs during a postoperative global period, but for reasons unrelated to the original procedure, you should append modifier 24 (Unrelated evaluation and management service by the...

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