Modifiers 73 and 74 / Ambulatory Surgery Centers / Overview

Why This Topic Matters

Correct handling of discontinued outpatient services affects claim reporting and facility reimbursement in ASC settings. The article helps readers distinguish between facility billing and physician billing and understand the Medicare context associated with these services.

Article Sections

1. Modifier 73

   Discusses the discontinued-service scenario that occurs before anesthesia in an outpatient hospital or ASC setting and the general reporting context associated with it.

2. Modifier 74

   Discusses the discontinued-service scenario that occurs after anesthesia or after a procedure has begun in an outpatient hospital or ASC setting and the general reporting context associated with it.

3. Medicare payment context and billing distinctions

   Summarizes broader Medicare facility-payment context and the distinction between ASC billing and physician billing for discontinued services.