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Thread: mod 57

  1. #1
    Join Date
    Apr 2007

    Default mod 57

    AAPC: Back to School
    can you bill a mod 57 with an HnP on the same day as surgery?

  2. #2
    Join Date
    Apr 2007
    Lubbock, TX

    Default Pardon my ignorance, but...

    Quote Originally Posted by herrera4 View Post
    can you bill a mod 57 with an HnP on the same day as surgery?
    HnP? I'm not familiar with the abbreviation...

  3. #3
    Join Date
    Apr 2007
    North Carolina



    I think the poster means H&P...

    Yes...if this is a major surgery and the need for surgery was made the day of/day before, the H&P is billable. You would need to add modifier 57 to your E/M code.

    B. Services Not Included in the Global Surgical Package

    "The initial consultation or evaluation of the problem by the surgeon to determine the need for surgery. Please note that this policy only applies to major surgical procedures."


    Section: 40.1

  4. #4
    Join Date
    Apr 2007


    sorry --history and physical

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