Orthopedic Coding Alert
Reader Questions:
Using Modifier -57
Published on Sun Aug 01, 1999
Question: Is a modifier used when undertaking non-surgical as well as surgical treatment in the global period?
Anonymous SC Subscriber
Answer: The -57 modifier (decision for surgery) would be appropriate for any E/M service performed the day before or the day of a major procedure (any procedure with a 90-day follow-up), whether the treatment is an open or closed procedure. Fracture care, whether open or closed, is considered a surgical procedure for this purpose. For commercial carriers that have global periods less than 90 days, but longer than the 0- or 10-day global period, verify with them whether this modifier is recognized.
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