Wiki 92960 - procedure the patient

[perkins05]

Patient comes in for 92960 but before procedure the patient is given EKG. From the results of EKG the doctors decides the procedure is not neccassary. Can we bill for this procedure and if so what modifier do I use 53 or 73?

All help is appreciated

Thanks

 

[jewlz0879]

You could bill for the EKG but I don't feel billing 92960 with 53 or 73 would be correct.

53 - Discontinued Procedure; under certain circumstances, the physician may elect to terminate a surgical or diagnostic procedure. Due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical was started but discontiued. In your case the Cardioversion 92960 was never started. It was decided not to even start the procedure due to results of EKG, if I understand your post correctly.

73 - I do not see a modifier 73. There are 76, 77, 78, 79.

HTH