ttate
Networker
I just started working at a Spine Center that does pain management. One of our doctors attempted to to a TFESI (transforaminal epidural steroid injection) of the lumbar spine. Pt's lumbar area was anesthetized and under fluoroscopic guidance "multiple attempts were made unsuccessfully secondary to bony overgrowth. A decision was then made to provide the epidural steroid injection from a caudal approach..."
So, Mod 74 states that procedure was d/c'd, after anesthesia (ASC or Outpt facility) due to "extenuating circumstances" or "threat to patient's well being". What constitutes "extenuating circumstances?" The doctor didn't know, going into the procedure, that it would be "reduced" (didn't plan a reduced procedure) so I don't think that 52 fully describes the situation... but I want to verify if a patient's abnormal anatomy can be considered an appropriate "extenuating circumstance" to justify modifier 74.
any words of wisdom?
Thanks for your help.
So, Mod 74 states that procedure was d/c'd, after anesthesia (ASC or Outpt facility) due to "extenuating circumstances" or "threat to patient's well being". What constitutes "extenuating circumstances?" The doctor didn't know, going into the procedure, that it would be "reduced" (didn't plan a reduced procedure) so I don't think that 52 fully describes the situation... but I want to verify if a patient's abnormal anatomy can be considered an appropriate "extenuating circumstance" to justify modifier 74.
any words of wisdom?
Thanks for your help.