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Modifier 24 & 57 - decision for surgery

  1. #1
    Default Modifier 24 & 57 - decision for surgery
    Medical Coding Books
    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
    Default
    sounds like a 79 modifier would be required as well then?

  3. #3
    Default
    Well, the 79 would go on a procedure. I'm just inquiring about the E&M visit itself. Any thoughts??

  4. #4
    Post
    If related PDx, E/M is not billable.

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

    HTH.
    Girish Dadhich, CPC

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