Wiki Modifier 57 and Modifier 26

[Sott3935]

Thank you for providing me with the answer to my question. Two more question about modifiers. Can modifier 57 be used if a doctor see the patient on Monday and decides that he is going to do surgery on Tuesday?

Modifier 26 I noticed that some codes are add on codes and modifier 26 is being used. Can you use modifier 26 with a code that is a add on code?

Thanks

Eddie Sottong

 

[RebeccaWoodward*]

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

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

Page 10

 

[luz.buenaventura]

modifier 26 is a professional component modifier. it can be used on an add on code for as long as it is a professional component. Example: 75774 is an add on code that needs a 26 modifier.

 

[Sott3935]

Thank You

Thank you for providing answers to my questions.