Otolaryngology Coding Alert

Modifier 57:

Conditions for Use

To append modifier 57 properly, you must remember these points:

  • The E/M service occurs the day of or the day before a major surgical procedure (a procedure with a 90-day global period).
  • The E/M service must prompt the surgical procedure that follows.
  • The E/M service must be related to the procedure that follows.
  • The same physician (or tax ID) provides the E/M service and the surgical procedure.