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Modifier 57 vs Modifier 25

  1. #11
    Location
    Columbia, MO
    Posts
    12,570
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    Exam Training Packages
    you would use the 25 due to the global days being 10 or less and no you do not need more than one dx code, look in appendix A of the AMA version of the CPT book to read the complete descriptor of the 25 modifier, in that you will see where it states "separate diagnoses are not required"...

    Debra A. Mitchell, MSPH, CPC-H

  2. #12
    Default
    Do you know where I can find "official" documentation regarding the global days effecting the use of 57 vs 25?

  3. #13
    Location
    Baton Rouge
    Posts
    1,239
    Default
    Here is a link to our Medicare carrier's modifier flowcharts:

    http://www.pinnaclemedicare.com/prov...w/default.aspx

    There is a chart for 57, but not 25, even though it references 25 in 57...go figure LOL but it may help with the documentation you're looking for.

    Meagan Strauss, CPC, CEMC
    Coding Coordinator
    The NeuroMedical Center
    Baton Rouge, LA

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