tci General Surgery Coding Alert - 2017 Issue 10

Modifier 57: Identify 'Decision for Surgery' to Maximize E/M pay

Case example shows the way. If you hesitate to report modifier 57 (Decision for surgery) because you fear over-billing for E/M services, you're not alone. But knowing the correct situations to use the modifier can help you file more accurate claims, and capture all the pay you deserve. Read on to get our experts' tips about when and how to use modifier 57. Focus on Core Meaning of 57 When your surgeon is evaluating a patient and determines during the visit to perform surgery that day or the next day, you'll need to append modifier 57 to the E/M...

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