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Thread: Modifier 24 & 57

  1. #1
    Join Date
    Apr 2007
    Woodbridge, VA

    Default Modifier 24 & 57

    AAPC: Back to School
    When billing an E&M visit, is it acceptable to use both modifier 24 & 57 if the E&M is within a post op period but also a decision for surgery was made?

    Zaida Aquino

  2. #2
    Join Date
    Apr 2007


    sounds like a 79 modifier would be required as well then?

  3. #3
    Join Date
    Apr 2007
    Woodbridge, VA


    Well, the 79 would go on a procedure. I'm just inquiring about the E&M visit itself. Any thoughts??

  4. #4
    Join Date
    Apr 2007
    New Delhi, India


    If related PDx, E/M is not billable.

    If unrelated PDx, append mod 24 & 57 to appropriate E/M level.

    Girish Dadhich, CPC

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