"CPT Copyright 2017 American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association.""

Featured Post

New E&M codes for the year 2019

For 2019, the E&M section of CPT code book will have two new codes for Interprofessional Telephone/Internet/Electronic Health Record...

Modifier 57 Decision for Surgery


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. Modifier -57 replaces HCPCS Level II modifier QI (decision for major surgery). Modifier -57 should be used only in cases when the decision for surgery was made during the preoperative period, the day before or the day, of a major surgical procedure (procedures with 90 days of follow-up).

Modifier 57 should not be used with E/M visits furnished during the preoperative period of minor procedures (0-day or 10-day follow-up period). Use Modifier -25 to report a significant, separately identifiable E/M service by the same physician on the day of a procedure.


Blogger Widget

Popular Posts