AHA Coding Clinic® for HCPCS - 2018 Issue 2; Clarifications

Clarification on the use of Modifier 52 versus Modifier 74

The Central Office on HCPCS continues to receive requests for clarification on the use of modifier 52, Reduced Services, versus modifier 74, Discontinued out-patient hospital/ambulatory surgery center (ASC) procedure after administration of anesthesia, for reduced services provided under Medicare OPPS. To assist in providing official guidance for the reporting of reduced services under Medicare OPPS, we are publishing instructions for the appropriate reporting of these modifiers, provided by CMS on December 22, 2016, in Transmittal 3685. This information can be found at www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R3685CP.pdf. These modifiers provide a way for hospitals to report and be paid for...

To read the full article, sign in and subscribe to the AHA Coding Clinic® for HCPCS.


The AHA Coding Clinic for HCPCS includes:

  • The official publication for Level I HCPCS (CPT-4 codes) for hospital providers
  • Also specific Level II HCPCS codes for hospitals, physicians and other health professionals
  • Current newsletters added each quarter
  • Full Archives back to 2001
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information page link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA's Coding Clinic® - HCPCS +Archives

free demo
request yours today
pricing
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.