Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

Mod 57 apply?

Melanie Posted Mon 08th of February, 2010 16:50:03 PM

Patient is inpatient/Medicare primary - patient is new to us.

GI Doctor has done:


patient was advised of contraindications - patient understood and agreed to the surgical procedure - which in my mind, mod 57 applies..

yea or nay?
Wouldnt mod 57 apply to 43239?

Melanie Posted Mon 08th of February, 2010 17:47:42 PM

Correction - I meant to say the mod 57 should be put on the 99222...... (ugh - waiting for caffeine to hit the brain)

SuperCoder Answered Tue 09th of February, 2010 15:53:50 PM

Yes, mod 57 can be added to 99222 as that E&M service resulted in the decision making for the Sx.

Related Topics