modifier 52

  1. K

    Wiki ASC Discontinued Procedure

    Billing for both ASC (POS 24) as well as professional/MD: A patient that was checked in for a non-anesthesia procedure and was provided pre-procedure care (BP, Glucose, O2 monitoring), but the procedure was cancelled at provider's discretion due to patient's vitals at the time. The total time...
  2. A

    Wiki Securement of Crawford Tube

    A doctor placed upper crawford tubes on a patient. My doctor was called to make sure it was secured. Is there a cpt code for that because I cannot find one. I have code 68815 for the tube insertion so should I use that code or use modifier 52 with that code since he secured the tube? Or can I...
  3. A

    Wiki Ossicular chain reconstruction

    I wanted to get an opinion on this op report. I know there is no code for ossicular chain reconstruction or excision of canal cholesteatoma and the closest code would be 69632. The doctor did not repair the tympanic membrane but because of the reconstruction and removal of cholesteatoma, can I...
    • AN2114
    • Thread
    • 69632 cholesteatoma ear modifier 52 ossicular chain reconstruction tympanoplasty
    • Replies: 6
    • Forum: ENT/Otolaryngology
  4. P

    Wiki EGD foreign body removal but can't find foreign body?

    Findings: The examined esophagus was normal. A large amount of food (residue) was found in the cardia, in the gastric fundus, in the gastric body and in the gastric antrum. A razor blade was identified. We withdrew the scope and reinserted it with a hood cover for...
  5. P

    Wiki Modifier 52 and wart destruction

    I just started working at a new place and they are coding 17000-52 for 3 warts, reportedly for treating an area (same wart) an additional time (separate encounter). Cryotherapy was used. Any opinions?
    • phycoder
    • Thread
    • cryotherapy destruction modifier 52 wart
    • Replies: 3
    • Forum: Modifiers
  6. L

    Wiki Palmetto GBA- NC area Sleep Studies & Modifier 52

    Can anyone assist me? I have been having difficulty getting MCR to pay for sleep studies 95810, 95811 if less than 6 hours. According to their LCD it states 6 hours of recording with no mention about what to do for less than 6 hours. But according to CPT AMA if less than 6 hours you need to...
    • Launie75
    • Thread
    • medicare mod 52 modifier 52 palmetto gba sleep studies
    • Replies: 4
    • Forum: Modifiers
  7. L

    Wiki TURP terminated - This patient is here for TURP

    Hello, This patient is here for TURP …. But only cystourethroscopy was done due to failed attempt to bypass bladder neck ….. Operation note: Under Spinal Anesthesia Cytsoscope was inserted till bladder neck Could not pass the scope beyond a fibrotic prostate and high bladder neck Trial of...
    • lbarbar
    • Thread
    • bladder modifier 52 neck terminated turp
    • Replies: 3
    • Forum: Urology
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