Outpatient Facility Coding Alert - 2017 Issue 7
Modifiers: Bust These Modifier 57 Myths to Boost Your Bottom Line
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Article Overview
This article reviews common misunderstandings about modifier 57 in the context of evaluation and management services, global surgery periods, and the timing of surgical decision-making. It is aimed at medical coders and billing professionals who want to better understand broad claim-processing guidance, payer references, and CPT-related discussion related to major versus minor procedures.
Why This Topic Matters
Understanding this topic helps coding and billing staff recognize when modifier 57 is discussed in relation to major surgery, global periods, and same-day or day-before E/M services so claims can be reviewed more confidently.
What You Will Learn
- How modifier 57 is discussed in relation to surgical decision-making
- How global periods affect the distinction between major and minor procedures
- How modifier 57 is compared with another E/M modifier in claim contexts
- Which general sources and organizations are referenced for guidance
Who Should Read This
- Medical coders
- Billing professionals
- Coding auditors
- Revenue cycle staff
Modifiers Discussed
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