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Thread: Modifier 57 and Modifier 26

  1. #1
    Join Date
    Apr 2007

    Default Modifier 57 and Modifier 26

    AAPC: Back to School
    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?


    Eddie Sottong

  2. #2
    Join Date
    Apr 2007
    North Carolina


    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


    Page 10

  3. #3
    Join Date
    Apr 2007


    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.

  4. #4
    Join Date
    Apr 2007

    Default Thank You

    Thank you for providing answers to my questions.

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