natashalage
Expert
Hello Coders! ![Smile :) :)](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
I need your help please. Could you please tell me why we couldn't code E/M with a modifier 57 (decision for surgery 90days global)? In this case, it's a New pt, MD evaluated the pt's condition and made a decision for surgery. I understand that 90day global package includes 1day before surgery (pre-op e/m) but in this case, MD sees the pt for the first time and that's when the treatment plan is established.
Thank you very much for your rational!
![1688928172685.png 1688928172685.png](https://www.aapc.com/discuss/data/attachments/6/6339-6f93734affddcc751d3241dd73a41658.jpg)
I need your help please. Could you please tell me why we couldn't code E/M with a modifier 57 (decision for surgery 90days global)? In this case, it's a New pt, MD evaluated the pt's condition and made a decision for surgery. I understand that 90day global package includes 1day before surgery (pre-op e/m) but in this case, MD sees the pt for the first time and that's when the treatment plan is established.
Thank you very much for your rational!
![1688928172685.png 1688928172685.png](https://www.aapc.com/discuss/data/attachments/6/6339-6f93734affddcc751d3241dd73a41658.jpg)