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mod 57

  1. Default mod 57
    Exam Training Packages
    could someone PLEASE explain when to use mod 57 and when to for an orthopedic. I am new to coding orthopedics and the Dr did an E/M 99202 w/mod 57, on a pt who has a tibia shaft fracture 27750, he also did an xray 73600. Dr applied a short leg cast.

    Thx

  2. Default
    Quote Originally Posted by samyjw View Post
    could someone PLEASE explain when to use mod 57 and when to for an orthopedic. I am new to coding orthopedics and the Dr did an E/M 99202 w/mod 57, on a pt who has a tibia shaft fracture 27750, he also did an xray 73600. Dr applied a short leg cast.

    Thx
    57 modifier is applied to an E/M code when billed the day of or the day before any 90 day global procedure.

  3. #3
    Location
    Dickson, TN
    Posts
    21
    Default
    You would look up your procedure and if its a 0-10 day global procedure your modifier is a -25 if its a 90 day global then your modifier is a 57.

    Good Luck!

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