tci Part B Insider - 2008 Issue 44

Reader Question: Global Period Drives Choice Between Modifiers 25 and 57

Know the right modifier or forfeit your pay when the physician provides a service and an evaluation on the same date of service.Question: I have never really understood what separated modifiers 25 and 57. Could you explain the difference between them, and when I should use each? Answer: Look at the procedure's global days to determine whether you must append either modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service) or 57 (Decision for surgery) to the E/M code.Use modifier 25 when: The...

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