Revenue Cycle

Q. Can you explain the use of modifier -27?

Patient Financial Services Weekly Advisor, November 9, 2007

Q. Can you explain the use of modifier -27?

A. CMS does not require modifier -27 but defines it as "multiple outpatient hospital evaluation and management encounters on the same date." Modifier -27 should be appended only to the evaluation & management (E/M) service codes. Hospitals append modifier -27 to the second and subsequent E/M code when more than one E/M service is provided to indicate that the E/M service is a "separate and distinct E/M encounter" from the service previously provided that same day in the same or different hospital setting. When reporting modifier -27, report with condition code G0 when multiple medical visits occur on the same day in the same revenue centers.

Source: Centers for Medicare & Medicaid Services

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