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Thread: Can you bill a modifer 58 with an E&M visit?

  1. #1

    Default Can you bill a modifer 58 with an E&M visit?

    AAPC: Back to School
    CPT book states modifer 58 as procedure or SERVICE-does service count as an EM visit?

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    no Evaluation and Management codes can be pair with E&M modifiers only. 58 is not an appropriate E&M modifier. What was the rationale for wanting to use this modifer with your E&M?

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Join Date
    Apr 2007


    no if it is truly a global you can not bill but if it is an e/m during a global that is legit u can use the 24 modifier. 58 is only for proceedures, etc.

  4. #4
    Join Date
    Apr 2007


    Even if WPS Medicare isn't your Part B carrier, they have great information on their website. They have fact sheets for all modifiers. Here is the information on the 58 modifier as well as the link to the modifier page.

    I hope this helps!

    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I
    AHIMA Approved ICD-10-CM/PCS Trainer
    AAPC National ICD-10-CM Trainer

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