53 modifier

[Kurtoglus]

Do payers reimburse for surgical procedures with a 53 modifier other than 45378, G0105, G0121?
If so, can you give me an example?

 

[danskangel313]

Payers reimburse based on documentation of the procedure. They determine how much of the procedure was completed, verify the reason for discontinuing was appropriate, and so forth. Any procedure, generally speaking, can be billed and paid with a 53 if the documentation supports it. You can't use a 53 for ASCs and Hospital facility claims, anesthesia or E/M services.