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Wiki Attempted IUD insertion

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DebbieP

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Lapeer, MI
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Can someone help me with this - the physician dilated the cervix and attempted several times to insertion and IUD but was not able to due the angle of the uterus. Could I bill a 58300 modifier 53?
 
Yes, that is what I would bill. 58300-53. I know there is a lot of debate about -52 vs -53. It is my opinion it would be -53 for "extenuating circumstances". I use -52 when a provider choses (or plans) to not do all the components of a procedure that doesn't have a better coding option. That being said, I could find you a dozen experienced coders convinced -52 is correct and another dozen convinced -53 is correct.
There are times (based on the carrier), I might use -52 in this scenario.
 
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