pedscoder21
Guru
Hi,
I have a couple of scenarios with questions:
1) Patient presents with nursemaid's elbow. Physician documents, "attempted nursemaid's elbow reduction; after 5 minutes the patient continues to keep left arm at side and elbow extended; referral to orthopedics." The physician billed 24640...is this appropriate with modifier 53?
2) Patient presents with impacted cerumen. Physician documents, "attempted cerumen removal with curette; ear canal began to bleed so I decided to refer the patient to otolaryngology." Can you bill 69210 with modifier 53?
Thanks in advance
I have a couple of scenarios with questions:
1) Patient presents with nursemaid's elbow. Physician documents, "attempted nursemaid's elbow reduction; after 5 minutes the patient continues to keep left arm at side and elbow extended; referral to orthopedics." The physician billed 24640...is this appropriate with modifier 53?
2) Patient presents with impacted cerumen. Physician documents, "attempted cerumen removal with curette; ear canal began to bleed so I decided to refer the patient to otolaryngology." Can you bill 69210 with modifier 53?
Thanks in advance