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Otolaryngology Coding Alert


Tread Carefully Using Modifier 57 with Minor Surgical Procedures

Don’t let the contradicting guidelines overwhelm you. Modifier 57 (Decision for surgery) is one of those modifiers that’s seemingly simple on the surface. If a patient sees the ENT for an evaluation and management (E/M) visit that results in a decision for a same day (or the day prior to) surgery, then you should use modifier 57, right? Problem: When [...]