Modifiers: Go Global to Find Proper E/M Modifier

Why This Topic Matters

Choosing the correct E/M modifier affects how separately identifiable services are reported alongside procedures and helps support compliant claim submission and documentation review.

Article Sections

1. Introduction

   Introduces the topic of reporting E/M services alongside procedures and frames the distinction between the two modifiers discussed in the article.

2. FAQ: Definition of modifier 57

   Explains the general circumstances under which one modifier is associated with an E/M service and a major procedure, including broad documentation considerations.

3. What is considered ‘major’ surgery, for coding purposes?

   Reviews how global period length is used to distinguish major from minor procedures in the context of modifier selection.

4. Clinical example of modifier 57 in use

   Presents a case-based scenario showing an E/M service paired with a procedure and associated diagnosis coding.

5. When should I use modifier 25?

   Describes the general circumstances under which the other modifier is used with a separately identifiable E/M service and a minor procedure.

6. Clinical example of modifier 25 in use

   Provides a second scenario illustrating an E/M service reported with a procedure and associated diagnosis coding.