Discontinued Procedures

missyah20

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Minneapolis
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Quick question - If a procedure is discontinued/cancelled due to contraindication do you use a modifier when billing the anesthesia for this procedure?

Thanks
Missy Heuer CPC
 

kevbshields

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Louisville, KY
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Since the procedure was "cancelled due to contraindication," I would guess this was prior to Anesth? If so, I wouldn't imagine there'd be much of a bill for the CRNA/Ans Attending.

However, if anesth. had been administered, you would indicate an anesthesia code that would represent the most complex portion of the procedure completed and bill start/stop times, like normally. Your ICD would be where you'd indicate the contraindication. To my knowledge there is no modifier indicative of a discontinued anesthesia service.

Hope that helps.
 

CoderChick24

Networker
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Columbus, OH
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We advise providers that since anesthesia is based on time, a discontinued procedure modifier isn't appropriate. You just bill the appropriate amount of time.
 

xlbctso

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Some insurance companies allow the billing of an E&M service by the anesthesiologist if the surgery is canceled.

If the surgery must be discontinued, the anesthesiologist would bill for the amount of time anesthesia was administered.
 
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