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Thread: Er visit with surgery

  1. #1
    Join Date
    Apr 2007

    Default Er visit with surgery

    AAPC: Back to School
    Er physician see patient and decides to repair a simple laceration and an intermediate laceration. Do i code an er visit and append mod 57 or is the er visit included in the repairs. Thanks for your help.

  2. #2
    Join Date
    Apr 2007
    Jacksonville, Florida - 90417

    Default Er visit with surgery

    Visit and LAC repair may both be billed. Intermediate LAC repair codes are not MAJOR procedures (90 follow up days), so Medicare will not pay for the 57 modifier on the E/M charge - use a 25 instead.

    Even though CPT does not specifiy that the 57 modifier is only to be used for MAJOR procedures like Medicare does, the 25 modifier would be more appropriate in this case.


    Maryann C. Palmeter, CPC, CENTC, CPCO

  3. #3
    Join Date
    Apr 2007


    I second Maryann!

  4. #4

    Default LAC repair

    we can bill both visit and repair with the help of 25-mod.

    vijayakumar D

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