DecisionHealth, DecisionHealth - 2019 Issue 4 (April)

Modifier 53 looking good denial-wise, but 52’s a minefield

Looking at Part B denial rates for modifiers 52 (Reduced services) or 53 (Discontinued procedure), it appears easier to get contractors to buy your reasons for stopping a procedure than your reasons for curtailing it, according to claims data from 2017, the most recent available.

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