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EM Coding Alert

E/M Coding:

Find out How Provider Categorizes Surgery Before Deciding on Modifier

Published on Fri Apr 24, 2026

Question: A Medicare beneficiary saw a provider for an evaluation and management (E/M) visit before a surgery. Would I add modifier 57 or 25 to the E/M code to report this combination of services? Illinois Subscriber Answer: You’ll need to gather more information, including the date of the E/M service and the date of the surgery, from the documentation or [...]
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