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  #1  
Old 06-27-2007, 01:39 PM
missyah20 missyah20 is offline
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Question Discontinued Procedures

Quick question - If a procedure is discontinued/cancelled due to contraindication do you use a modifier when billing the anesthesia for this procedure?

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Missy Heuer CPC
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Old 06-29-2007, 02:25 PM
kevbshields kevbshields is offline
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Since the procedure was "cancelled due to contraindication," I would guess this was prior to Anesth? If so, I wouldn't imagine there'd be much of a bill for the CRNA/Ans Attending.

However, if anesth. had been administered, you would indicate an anesthesia code that would represent the most complex portion of the procedure completed and bill start/stop times, like normally. Your ICD would be where you'd indicate the contraindication. To my knowledge there is no modifier indicative of a discontinued anesthesia service.

Hope that helps.
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Old 06-29-2007, 04:11 PM
CoderChick24 CoderChick24 is offline
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We advise providers that since anesthesia is based on time, a discontinued procedure modifier isn't appropriate. You just bill the appropriate amount of time.
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Old 07-02-2007, 07:59 AM
missyah20 missyah20 is offline
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Thanks for the help. That is what I thought, but I wanted to get some other opinions on it.
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Old 08-06-2007, 05:47 PM
xlbctso xlbctso is offline
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Some insurance companies allow the billing of an E&M service by the anesthesiologist if the surgery is canceled.

If the surgery must be discontinued, the anesthesiologist would bill for the amount of time anesthesia was administered.
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