Wiki Use of 57 modifier

[donnagullikson]

What documentation needs to be in the report for me to use the 57 modifier? Is it as simple as the patient agreeing to have surgery that day or does the physician have to document the necessity why the patient needs surgery immediately?

Thanks,

 

[CodingKing]

Major surgeries (90 day global) pay separately for an E&M on the day of or day before the procedure IF its the E&M that led to the decision for surgery. Modifier 57 is to be used on that E&M so it doesn't deny as global.