tci General Surgery Coding Alert - 2015 Issue 2

Modifiers:Correctly Choose Modifier 52 or 53 -- Every Time

Unscramble ‘reduced’ and ‘discontinued’ procedures. When your surgeon stops a procedure before completing it to the fullness of the CPT® code description, what should you do? Know your choices: You might use modifier 52 (Reduced services), or modifier 53 (Discontinued procedure), or you might use a different code that accurately describes the work completed. Let our experts help you unravel the choices so that you can increase your coding accuracy and ethically maximize the pay your surgeon deserves when these limiting circumstances occur. Use 52 for ‘Lessened’ Procedures Sometimes a specific CPT® code is the best...

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