tci Outpatient Facility Coding Alert - 2012 Issue 5
Yes, You Can Report Modifier 52 in An ASC Sometimes
Modifier 52 (Reduced services) is primarily designed for physician use, but ASCs can report modifier 52 on certain claims or in certain circumstances. Check our list of factors to consider when deciding whether to submit modifier 52 on outpatient facility claims. Know the Modifier Basics Coders report modifier 52 when the physician performs a service that is less than the CPT® code descriptor or when the procedure required significantly less work than the code's descriptor would indicate as normal. ASCs should use modifier 52 to indicate discontinuance of a radiology procedure or other procedures that do not require anesthesia. Watch...
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