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AHA Coding Clinic® for HCPCS - 2012 Issue 1

REVISITING MODIFIER 52, 73, and 74

The Central Office on HCPCS has received many inquiries regarding the appropriate use of Modifier 52, Reduced Services. There appears to be some confusion among coders concerning previously published guidance on the appropriate appending of Modifier 52 to CPT procedure codes. The issue involves the use of Modifier 52 when the procedure is not terminated due to a patient’s circumstance but is actually completed, meaning that the intended procedure was performed. There have been several Question & Answers (Q&As) published in our quarterly HCPCS newsletter regarding the appropriate reporting of modifier 52; however, we continue to receive...

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