Modifier -27 Flowchart

Utilization of hospital resources related to separate and distinct E/M encounters performed in multiple outpatient hospital settings on the same date may be reported by adding modifier -27 (Multiple outpatient hospital E/M encounters on the same date) to each appropriate level outpatient and/or ED E/M code(s). This modifier provides a means of reporting circumstances involving E/M services provided by physician(s) in more than one (multiple) outpatient hospital setting(s) (e.g., hospital ED, clinic). Use this flowchart to determine when use of this modifier is appropriate.

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