Codapedia: Modifier -25 or -57?

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General

I worked 6 years as Admin Assist for 2 PT Clinics in FL. Then moved to GA in 2001 and have been working in Ortho Billing ever since. I graduated the Univ Kennesaw for Coding Comprehension. I enjoy sharing information and learn something new every day from someone. I even created my own yahoo group just so I can share information and others can as well.

http://health.groups.yahoo.com/group/Maximum_Reimbursement/

Author:
Debra Sanders

Modifier -25 or -57?
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Current Rating: -na-

When the physician is making a decision for surgery on a procedure with a 0-10
day global period a -25 modifier is used on the E/M. If the
procedure discussed has a 90 day global period the -57 modifier would then apply
to the E/M.

Ex: 20610 = 0 day global
Code as: 99213-25, 20610

Ex: 27816 = 90 day global
Code as: 99213-57, 27816

Global Periods: 0 days = the day of, 10 days = the day of + 10 days after, 90 days = the day before, the day of and 90 daysafter.

0=1
10=11
90=92

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