READER QUESTIONS:
Append Modifier 52 for Incomplete BAHA Procedure
Published on Tue Nov 24, 2009
Question: My practice is doing an implantation of electromagnetic bone conduction hearing device in temporal bone, which has a code of 69710. However, the procedure is not exactly how we are doing it. If we are not doing all the work in the description, how should I report the procedure? North Carolina Subscriber Answer: If you're not doing all the components described for a code -- in this case, 69710 (Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone) -- you should append modifier 52 (Reduced services) and state that you only did parts of what is described for the code. Understandably, payers do not reimburse for the parts that you're not doing, but may ask for supporting documentation. Another option: In Florida, the only code that Medicare reimburses for electromagnetic bone conduction device implantation is 69714 (Implantation, osseointegrated implant, temporal bone, with percutaneous attachment to external speech [...]
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