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Hosp e&m prior to delivery

  1. Default Hosp e&m prior to delivery
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    A patient entered the hospital at 35 weeks. She remained hospitalized for seven days
    before delivery via cesarean section. Is "57" the proper modifier to append to the E&M
    hospital days prior to delivery?

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    Quote Originally Posted by WCK110658 View Post
    A patient entered the hospital at 35 weeks. She remained hospitalized for seven days
    before delivery via cesarean section. Is "57" the proper modifier to append to the E&M
    hospital days prior to delivery?
    Only to the day the actual decision to do the c-section was made. The other days prior are just billed as inpatient days no modifier. Just be sure the diagnosis coding reflects the complication she was hospitalized for.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

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