24 and 57?

[pittiemom2722]

We have a patient that had a toe fx charge back in December; he's still under that global period. Came in yesterday with a new wrist fx. Do I put both 24 & 57 on the E/M??

Thanks!

Kris

 

[Biller385]

You would put 24 on the E/M. Modifier 57 is for decision for surgery and you did not mention surgery.

Cathy

 

[pittiemom2722]

The 57 modifier is for the fracture care for the patient's wrist.

 

[aaron.lucas]

was the wrist surgery on the same/next day, and is it a 90 day global? -57 only applies when the procedure is major surgery, and when it is scheduled for the same or next day.

 

[FTessaBartels]

Assuming you will be treating the fracture ...

Assuming you will be treating the wrist fracture this same DOS, then Yes, you would append both the -24 and -57 modifier to show that this E/M service was
1) UNrelated to earlier surgery/fracture care, though provided during the global period of that earlier procedure
-and-
2) the Decision for Surgery for new procedure/fracture care.

Hope that helps.

F Tessa Bartels, CPC, CEMC

 

[JDavis0411]

I agree, that if fracture care is being done for the wrist, you would add both the -24 and -57 modifiers. Both are needed to tell the whole story for this visit.