Can someone please give me some guidance for billing modifier 57.
Our doctors routinely do hospital consults that result in surgery same day or the next day they also see patients in office and have the same situation. We bill the e/m code with a modifier 57 adn the e/m code still gets denied stating it is part of the surgery.
It is all insurances including medicare that we are having this issue with.
While all descriptions of modifier 57 say that we can bill this as long as it is a major surgery.
Our doctors routinely do hospital consults that result in surgery same day or the next day they also see patients in office and have the same situation. We bill the e/m code with a modifier 57 adn the e/m code still gets denied stating it is part of the surgery.
It is all insurances including medicare that we are having this issue with.
While all descriptions of modifier 57 say that we can bill this as long as it is a major surgery.