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  1. Modifier 57 Fact Sheet - Novitas Solutions

    Modifier 57 is used to indicate an Evaluation and Management (E/M) service resulted in the initial decision to perform surgery either the day before a major surgery (90 day global) or the day of …

  2. Modifier 57: For More Than Just "Surgery" - AAPC

    Oct 24, 2016 · If you think of modifier 57 as the “decision for surgery” modifier, it’s time to change your mind. Modifier 57 applies when the physician determines the need for any major …

  3. 57 - JE Part B - Noridian

    Use of this modifier will allow separate reimbursement for the surgeon's visit on the day of surgery. It will not be a part of the global surgical package when reported with the modifier 57.

  4. Modifier 57 - CodingIntel

    Dec 10, 2025 · Use modifier 57 on the E/M service—office visit, ED visit, initial hospital service, critical care service or any E/M service. Allows physician to be paid for the initial evaluation …

  5. Modifier 57 Description, Examples, & Accurate Usage Guide

    Jan 23, 2025 · Modifier 57 is one of the most commonly used two-digit codes. Billing teams use it to differentiate special visits from routine pre-operative care. Let’s simplify this modifier so you …

  6. Procedure Coding: When to Use The 57 Modifier - Continuum

    Feb 28, 2019 · Modifier 57 should be appended to any E/M service on the day of or the day before said procedure when the E/M service results in the decision to go to surgery. This …

  7. Modifier 57 fact sheet | FCSO Medicare

    Modifier 57 is used to indicate an evaluation and management (E/M) service resulted in the initial decision to perform surgery either the day before or the day of a major surgery (90-day global).

  8. (2023) Modifier 57 | Decision For Surgery Explained - Coding Ahead

    Modifier 57 represents the evaluation and management service when a physician decides on the day of surgery or one day before the surgery, which has a 90-day global period.

  9. Modifier 57 - Clear the Confusion and Learn the Facts

    Nov 15, 2016 · Modifier 57 describes the Decision for Surgery: indicates that an Evaluation and Management (E/M) service resulted in the initial decision to perform surgery either the day …

  10. Modifier 57 | Priority Health

    Jun 12, 2025 · This modifier may be used to indicate that an evaluation and management (E/M) service performed on the same day or the day before a major surgery resulted in the decision …