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tci E/M Coding Alert - 2017 Issue 7

Modifiers: Bust These Modifier 57 Myths to Boost Your Bottom Line

Pay attention to the global period. As a coder, you know how important modifiers are on your claims. Modifiers allow you to tell your payers that although a specific circumstance may have altered the service/procedure your physician performed, the definition or code of the service stayed the same. Bust three common myths about modifier 57 (Decision for surgery), a modifier option for your evaluation and management (E/M) services, and pave your way to cleaner claims. Myth 1: To use modifier 57, the procedure following the E/M service must be minor. Truth: You should use modifier 57 only when the...

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