Wiki Modifier question

[jcoderjf]

A man is admitted to the hospital by the orthopedic surgeon for severe hip pain. The ortho surgeon provides and initial hospital visit during which it's determined that the man has a fractured hip that will require surgical intervention. The man is taken later that day to the OR, where the doctor performs the surgical procedure to repair the Mans hip. Which modifier would you use for the hospital visit?

 

[RebeccaWoodward*]

A man is admitted to the hospital by the orthopedic surgeon for severe hip pain. The ortho surgeon provides and initial hospital visit during which it's determined that the man has a fractured hip that will require surgical intervention. The man is taken later that day to the OR, where the doctor performs the surgical procedure to repair the Mans hip. Which modifier would you use for the hospital visit?

Modifier 57...

Indicates an Evaluation and Management service resulted in the initial decision to perform surgery either the day before a major surgery or the day of a major surgery.

Also...Is this a Medicare patient? AI modifier will also be needed to indicate that the ortho physician was the admitting MD.

 

[gerrib]

Modifier 57...Decision for Surgery: An E&M service that resulted in the initial decision to perform the surgery may be identified by adding modifier 57 to the appropriate level of E/M service.

Taking my CPC exam in 5 weeks.
Gerri