tci ED Coding & Reimbursement Alert - 2003 Issue 9

Test Yourself: Modifier -52 Versus Modifier -53

Think you know when to report reduced services and when to report a discontinued procedure? Take this quiz to find out for sure.  In each of the following scenarios, decide whether you should append modifier -52 or -53 for the ED physician's services.Scenario 1:An accident victim receives an x-ray of his upper arm. The ED physician discovers a foreign body imbedded in the patient's limb but is unable to remove it during exploration of the arm (20103, Exploration of penetrating wound [separate procedure]; extremity). The doctor sends the patient to an operating suite where a surgeon completes...

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