Modifier code
Modifier 57: Decision for surgery
E&M visit at which decision for major surgery was made.
Code
57
When to use
Marks the E&M visit where the decision for major surgery was made — separates this E&M from the surgical global period.
Common issues
- E&M denied as bundled within global period if no modifier 57
Frequently asked questions
What is modifier 57?
Decision for surgery
When should it be used?
Marks the E&M visit where the decision for major surgery was made — separates this E&M from the surgical global period.
Common issues when modifier is missing or wrong?
E&M denied as bundled within global period if no modifier 57.
Other modifiers
- 25 — Significant, separately identifiable E&M service on same day as procedureWhen E&M visit + procedure happen same day and the E&M was separately documented
- 26 — Professional componentSplits a procedure into its professional (physician interpretation) and technica
- 50 — Bilateral procedureProcedure performed on both sides of the body during a single session.
- 51 — Multiple proceduresMultiple procedures performed at the same session.
- 52 — Reduced servicesService partially reduced or eliminated at the physician's discretion.
- 53 — Discontinued procedureProcedure discontinued because of extenuating circumstances.
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