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Wiki initial inpatient with surgery
- Thread starter TAMMYS
- Start date
RebeccaWoodward*
True Blue
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.
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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.
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