tci Part B Insider - 2007 Issue 21

Part B Coding Coach: Don't Forego Discontinued-Procedure Pay Due To Modifier Confusion

Get straight on modifiers 52 and 53When your physician discontinues a procedure, are you certain how to bill for it? If you-re wondering when you can bill for stopped procedures--and how to decide between modifiers--you-re not alone. In practice, there's enough overlap between modifiers 52 and 53 to cause continued confusion on how to apply them. Read the following guidance to clear the cobwebs on this tricky distinction. Keep 52 for Unplanned Reductions Modifier 52 (Reduced services) applies when -a service or procedure is partially reduced or eliminated at the physician's discretion,- according to CPT. You should use...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

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