tci General Surgery Coding Alert - 2021 Issue Q2

Master Modifiers: Choose Between 52, 53 for Halted Surgery

The devil is in the ‘stopped service’ details. When your surgeon has to stop a surgery before completing the procedure, his efforts don’t have to be a total loss. But managing the claim to get the pay you deserve depends on deploying one of two modifiers based on the details of the case. Read on to get our experts’ advice about how to choose the correct modifier: 52 (Reduced services) or 53 (Discontinued procedure). Surgeon’s Judgement Marks Modifier 52 Claims “Modifier 52 indicates that a service was partially reduced or eliminated at a physician’s...

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