DecisionHealth, DecisionHealth - 2024 Issue 10 (October)
Q&A: How to bill when first attempt at total hip is aborted
Question: Our surgeon started a total hip arthroplasty. The surgery was discontinued after the surgeon made the incision due to blood pressure issues. We billed CPT code 27130 with modifier 53 (Discontinued procedure) adjusting down our fee to 10% as that is the percentage of normal procedure performed. This was paid fine with BC Medicare Advantage. Ten weeks later, the surgeon tried again and this time was able to complete the surgery. We are wondering how to bill for the completed surgery. Does the 90-day global period apply when the procedure is discontinued? If a modifier needs to be added, then we were thinking 58 (Staged or related procedure by the same provider during the post-operative period) seems most appropriate but we are not sure.
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