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57 for Asst surgeon

  1. Default 57 for Asst surgeon
    Medical Coding Books
    Hi List,

    Can we append 57 for the E/M done by the Asst Surgeon(has assited a major surgery too on the same day).Would be great if have any supporing reference.


  2. #2
    Only if the assistant surgeon is the one that did the E/M visit (and the procedure holds a 90 day global) then yes the -57 is appropriate.

  3. Default
    Majority of the claims billed with modifiers 80 or 81 will be denied. Practically speaking, no need to bill the E/M with 57 modifier. Theoritically, if the assistant surgeon's E/M service is the one that led to the decision for Surgery having 90 FUDs; you can bill with 57 modifier; if it is on the day of surgery or one day prior to surgery.
    Jagadish, CCS-P, CPC

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