tci ED Coding & Reimbursement Alert - 2004 Issue 8

Pose 1 Crucial Question to Negotiate -52 and -53

How to pick the correct modifier for incomplete procedures When your physician stops in the middle of a lumbar puncture, you need to ask this simple question to identify the correct modifier: Why did he abort the procedure? When physicians can't complete a procedure, many emergency department coders are confused about when to use modifier -52 (Reduced services) and when to use modifier -53 (Discontinued procedure). But if you know why the physician decided not to finish the service, you can readily choose the right one.Don't Assume 'Incomplete' Equals 'Modifier' Self-Defense: Before you use one of these modifiers...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.


You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1998 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci ED Coding & Reimbursement Alert +Archives

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