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Wiki 57 for Asst surgeon

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rajinizzz

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Hi List,

Can we append 57 for the E/M done by the Asst Surgeon(has assited a major surgery too on the same day).Would be great if have any supporing reference.

TIA
Rajini
 
Only if the assistant surgeon is the one that did the E/M visit (and the procedure holds a 90 day global) then yes the -57 is appropriate.
 
Majority of the claims billed with modifiers 80 or 81 will be denied. Practically speaking, no need to bill the E/M with 57 modifier. Theoritically, if the assistant surgeon's E/M service is the one that led to the decision for Surgery having 90 FUDs; you can bill with 57 modifier; if it is on the day of surgery or one day prior to surgery.
 
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