• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

initial inpatient with surgery

TAMMYS

Contributor
Messages
19
Best answers
0
Hi all,

Can someone tell me, can a physician code a initial inpatient with a modifier 57 and do a surgery on the same day or is the initial included with the surgery? Patient was admited through the ER.
 

RebeccaWoodward*

True Blue
Messages
3,126
Location
North Carolina
Best answers
0
If it was for the decision of surgery...yes you can bill.

http://www.medicarenhic.com/providers/pubs/General Surgery Guide.pdf

Modifier 57: Decision for Surgery
An E/M examination coded with modifier 57 indicates a visit that resulted in the initial decision to perform a major surgery. It is used the day before or the day of major surgery. Surgeries that have a 90-day follow-up period are considered major surgeries. When coding modifier 57, ensure that the patient's records clearly indicate when the initial decision to perform the surgery was made. Do not use modifier 57 with an E/M service performed on the same day as minor surgery.

Page 8 ;)
 
Top