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Modifier 25 vs Modifier 57

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sequelian:
Hi,

Can someone tell that can v append modifier 25 and 57 together with E&M service if the major surgery procedure is performed in the same day...or we just need to append modifier 57 with E&M service instead of appending both?

Thanks

Todd

Michele:
If you are only billing the E&M and the surgery, then only one of those modifiers would be needed (whichever one more accurately describes the situation).

asilva03:
Use modifier 25 when the surgery is minor, like requiring a 10- day global period or no global period at all.  Use modifier 57 when the surgery is major and requires a 90 global period.

Hope this helps.

DMK:
@asilva you may be mis-interpreting those modifiers.  Check your definitions.  -25 is for a significant separately identifiable E&M on the same day as another procedure or service (not minor as opposed to major surgery),  -57 is for the E&M that resulted in the decision to do surgery AT ALL.

asilva03:
I have checked my definitions and yes modifier -25 is for a significant separately identifiable E&M on the same day as another procedure or service, but mainly is used on minor surgeries. 

Check out this website

http://nyssmoh.blogspot.com/2008/12/ngs-news-modifier-25-and-57.html

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