Ob-Gyn Coding Alert

Reader Question:

Make These Modifier 52, 53 IUD Distinctions

Question: A patient came in for an intrauterine device (IUD) removal. The ob-gyn made multiple attempts to remove the IUD but to no avail. She is going to have to have it removed hysteroscopically. So my question is do I add modifier 53 to the 58301?

Virginia Subscriber

Answer: No. Modifier 53 (Discontinued procedure) means there was a problem with the patient that stopped the procedure. You should use modifier 52 (Reduced services) since the ob-gyn did work to remove it. Append it to 58301 (Removal of intrauterine device [IUD]).

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