Which modifier indicates the decision for surgery?

What is the 57 modifier used for?

Modifier 57 Decision for Surgery: add Modifier 57 to the appropriate level of E/M service provided on the day before or day of surgery, in which the initial decision is made to perform major surgery. Major surgery includes all surgical procedures assigned a 90-day global surgery period.

What is the difference between modifier 25 and 57?

Modifier 25 is used in medical billing for minor procedures, while modifier 57 is used in medical billing for major procedures. The only other small difference is that modifier 57 could mean the surgery will be done the next day. Medically billing modifier 25 means the surgery will be done on the same day only.

What is the 76 modifier used for?

Modifier 76

Used to indicate a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service.

What does modifier 78 indicate?

Modifier 78 is used to report the unplanned return to the operating/procedure room by the same physician following an initial procedure for a related procedure during the postoperative period.

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What is a 54 modifier?

Modifier 54 indicates that a physician or qualified health care professional (QHP) performed a surgical procedure and transferred the postoperative management to another provider.

What is 59 modifier used for?

Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circumstances.

How do you code a surgical decision?

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.

When do you use modifier 77?

Modifier 77 is used to report a repeat procedure by another physician and is appended to the repeat procedure to: Report the same service provided by another physician. Indicate that a basic procedure or service had to be repeated.

What is modifier 81?

Instructions. Modifier 81 is appended to the procedure code for an assistant surgeon who assists an operating or principal surgeon during part of a procedure.

When do you use modifier 99?

Modifier -99 indicates that multiple modifiers may apply to a particular service. Because Blue Cross can accept up to four modifiers, -99 should be used only if there are five or more modifiers applicable to a particular service line.

What is a 51 modifier?

Modifier 51 Multiple Procedures indicates that multiple procedures were performed at the same session. It applies to: Different procedures performed at the same session. A single procedure performed multiple times at different sites. A single procedure performed multiple times at the same site.

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