A patient is seen by a surgeon who determines that an emergency procedure is necessary. Identify the modifier that may be reported to indicate that the deciion to do surgery was made on this office visit.
A patient is seen by a surgeon who determines that an emergency procedure is necessary. Identify the modifier that may be reported to indicate that the deciion to do surgery was made on this office visit.
The appropriate modifier to indicate that the decision to perform surgery was made during the office visit is -57. Modifier -57 is used to report an evaluation and management (E/M) service that resulted in the initial decision to perform surgery, specifically when the decision is made either the day before or the day of the surgery. This helps distinguish the E/M service from the surgical procedure itself.
Modifier 57: CPT Modifier 57 is used when the initial decision to perform a major surgical procedure is made during an E&M service provided the day before or the day of a major surgery
C - Not sure about this one. After Evaluation & Management service resulted in the initial decision to perform surgery either the day before a major surgery
The modifier 57 indicates that evaluation and management service requested in the initial decision to perform surgery.