Otolaryngology Coding Alert
Modifier 57:
Conditions for Use
Published on Tue Feb 28, 2012
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.
Other Articles in this issue of
Otolaryngology Coding Alert
- Throat Coding:
Bust 4 Myths to Breathe Easy When Submitting Tracheotomy Claims
Beware separate-procedure status of planned tracheostomy. If you're making assumptions about how to report tracheostomy [...] - Clip 'n' Save:
Confused by Sinus Anatomy? This Diagram Highlights Billable Landmarks
Find out what diagnoses go with what FESS procedures.Warning: If you can't keep track of [...] - ICD-10:
ICD-10 Date Will Be Postponed, HHS Confirms
Delay could offer practices additional time to prepare for new diagnosis coding system.Just three months [...] - Modifiers:
Do You Pick the Correct E/M Modifier Every Time? Find Out.
Hint: Assign 57, not 25, for E/M prior to major surgical procedure. Your surgeon performs [...] - Modifier 25:
Conditions for Use
When appending modifier 25, the E/M service must meet these requirements:The E/M is significant and [...] - Modifier 57:
Conditions for Use
To append modifier 57 properly, you must remember these points: The E/M service occurs the [...] - You Be the Coder:
Payment for E/M + 69210 Is Possible, If You Meet Reqs
Question: When we bill an impacted cerumen removal (69210) with an office visit (99201-99215), the [...] - Reader Question:
Here's When To Treat Established Patients As New
Question: We saw a patient over a year ago for a thyroidectomy, and now the [...] - Modifier 24:
Conditions for Use
When you report modifier 24, the E/M service must meet these criteria: The E/M service [...]
View All
