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modifier 57 help

  1. #1
    Location
    East Stroudsburg, PA
    Posts
    25
    Default modifier 57 help
    Medical Coding Books
    Pt came into office on friday 1-21-11. Physician scheduled a LHC to be performed on 1-24-11, should or can I append -57 to the office visit?

  2. #2
    Default
    No, considering heart caths have a 0 day global you wouldn't append a -57 modifier.

    -57 can only be used on e/m's for procedures that have a 90 day global.

    You won't need any modifier on that particular visit.

    Jessica CPC, CCC
    Go Pack Go!

  3. #3
    Default Ditto to JessGuru
    Always take into consideration the global periods that apply to procedures and the situation under which "the decision for surgery" was made.

  4. #4
    Default
    57 is only used on the day of or day before a 90 day global. Any other global requires no modifier the days before and only a 25 the day of if the E&M is more extensive or for a different reason.

  5. #5
    Location
    East Stroudsburg, PA
    Posts
    25
    Smile 57 modifier
    Thanks everyone, i thought so but wanted to confirm

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