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Thread: Bronchoscopy/thoracotomy performed

  1. #1
    Join Date
    Apr 2007
    Toledo, OH

    Default Bronchoscopy/thoracotomy performed

    AAPC: Back to School
    A E&M occurs that results in the decision to perform surgery on the same date. A diagnostic bronchoscopy is performed and then a thoracotomy at the same session. I have a consultant that is advising to add both the modifiers 57 and 25 to the E&M code--the modifier 25 because the bronchoscopy was performed and the modifier 57 because a thoracotomy was performed. What is your opinion?

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default You only need the -57 modifier

    If you performed a major procedure (90 day global) then you only need the -57 modifier, even if you also performed a minor procedure (0-10 day global).

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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