AAPC - Back to school
Results 1 to 3 of 3

Thread: Office visit w/ 57 modifier?

  1. #1

    Default Office visit w/ 57 modifier?

    AAPC: Back to School
    We have been discussing when our doctor is scheduled to do caths at the hospital on a Wednesday and on Tues. he has a patient in office that he says "add to my cath schedule for Wednesday". Can we use the -57 modifier each time he makes that decision to cath the patient during the E&M visit the day before? Does anyone know the length of time you have before using the -57 is not valid. What I mean is can you only use it within 24hrs or 48hrs? Thank you for any input! Gail

  2. #2
    Join Date
    Apr 2007
    Green Bay


    Cardiac caths have a 0 day global. You wouldn't be using a -57 modifier at all for the day prior.

    -57 modifier is only to report the decision for surgery for e/m's the day of or day prior to a surgery that has a 90 day global.

    An office visit that was done the day prior to the provider scheduling the patient for a cath wouldn't need any modifier on it.

    Jessica CPC, CCC

  3. #3

    Default Thank you!!

    Very obvious answer once you gave it! Thank you so much! Makes complete sense. The modifier itself does not state for global period so we were thinking what if we have missed billing these visits!

Similar Threads

  1. 94640 with office visit/ modifier 25?
    By Trendale in forum E/M
    Replies: 4
    Last Post: 09-01-2016, 01:39 PM
  2. Office visit and 25 modifier
    By richelle25 in forum Orthopaedics
    Replies: 10
    Last Post: 03-23-2015, 05:32 PM
  3. Office Visit with GYGZ modifier...?
    By TracyBartholomew in forum Modifiers
    Replies: 0
    Last Post: 10-06-2010, 10:25 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.