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Wiki Attempted procedures

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pedscoder21

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Village of Lakewood, IL
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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 ;)
 
attempted procedures

Yes mod. 53 would work. Have physician document why they discontinued procedure. If it was due to health of patient that would be 52.
 
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