tci Part B Insider - 2004 Issue 22

MODIFIERS: For Pre-Operative E/M Visit, Intent Determines Your Modifier

Use -57 modifier only if the visit was directly related to the surgery If your surgeon has an evaluation and management visit with a patient within one day of a surgery with a global period, you may need to use a modifier to obtain payment for that visit. But which modifier? If the visit involved the decision to operate on the patient, then you can use the -57 modifier (Decision for surgery). But if the E/M wasn't actually related to the surgery, then you can use the -25 modifier (Significant, separately identifiable evaluation and management service by the same...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.