Tag: Modifier 57 reimbursement

Modifier 57 Fact Sheet

Modifier 57 Fact Sheet: A Complete Guide for Accurate Surgical Billing

Accurate modifier usage is critical to compliant medical billing and timely reimbursement. Among the most misunderstood modifiers is Modifier 57, which plays a vital role in surgical billing—particularly when an evaluation and management (E/M) service leads to a decision for major surgery. Incorrect application of Modifier 57 often results in claim denials, delayed payments, or […]