Wiki AI or 57 first? - Physician admitted pt to hospital

[Patricia L Diaz]

Physician admitted pt to hospital and the same day decided pt needs a pacemaker battery replacement, (he would be the surgeon) would the "AI" or the "57" go first??

AI - Priniciple Phys of record

57 - Decision for surgery


Thanks!

 

[Micheles]

Modifier 57 decision for surgery would be coded first followed by AI.

 

[twizzle]

AI and 57

I've always billed it as AI first to show the MD is the admitting doc, and then 57 to show the decision for surgery. The AI is part of the E&M code to distinguish it from a consult code.