CPT Modifier 57

[Valerie]

Modifier 57 is added to an E/M code with same DOS of a surgery. Okay... when this is done the provider is looking for payment for that E/M code in addition to the surgery. Or is the 57 just for informational purpose and no payment will be paid?

 

[Valerie]

Okay did some reading.. it does matter if the surgery is major or minor correct?

 

[Carolyn Heath]

I found this article when I googled Modifier 57: http://codapedia.com/articlePrint.cfm?id=260. I am sure you can find other articles when you googled Modifier 57.

 

[Valerie]

Thank you.. I aslo found something on CMS.org that explained much clearer than my supervisor.. Talk about making me more confused.. But Im good now.. Thanks again

 

[Carolyn Heath]

You are welcome. What is the link to the Modifier 57 article on CMS.org?

 

[Valerie]

http://www.wpsmedicare.com/part_b/resources/modifiers/modifier-57.shtml

 

[Carolyn Heath]

Thank you, Valerie, for the link.

 

[Alicia Scott]

You ladies are awesome!