tci Outpatient Facility Coding Alert - 2014 Issue 6

Modifier Focus: Watch the Clock to Know Whether Modifier -73 or -74 Applies

Plus: Here’s what your bottom-line difference will be.  Most procedures in your facility might go as planned, but sometimes circumstances lead to a procedure being discontinued. That’s when modifiers 73 and 74 come into use, so follow the advice below so you’ll know what they represent and when to report each one.   Context: Use modifiers -73 and -74 to report discontinued Outpatient/Hospital Ambulatory Surgery Center (ASC) procedures. These modifiers indicate a procedure that was cancelled after the patient’s surgical preparation in an outpatient hospital/ambulatory surgery center (ASC) setting. Early Cancellation Could Mean -73...

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