In some of my reserch of the 57 modifier, I have come across documentation which states that it is inappropriate to use the 57 modifier with new patient office visit codes (99201-99205). Is this true?
I have looked in the Medicare guidelines for further explanation, however the documentation only states: "modifier 57 is used to identify a visit which results in the initial decision to perform surgery". The medicare guidelines don't expand upon the 57 modifier re: which visit codes it can and can't be used in. Any help/suggestions?
I have looked in the Medicare guidelines for further explanation, however the documentation only states: "modifier 57 is used to identify a visit which results in the initial decision to perform surgery". The medicare guidelines don't expand upon the 57 modifier re: which visit codes it can and can't be used in. Any help/suggestions?