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57 modifier

Is everyone having their e/m w/-57 mod denied w/tricare? For example, we see a patient for pain and only after the xray determine that the patient has a fracture and therefore, a decision for surgery...

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Re: 57 modifier

Not strictly relevant, but the fracture fee includes the initial casting. I don't deal much with Tricare, but I have seen NHIC pulling this every now and then. I'm not sure if this is the perfect...

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