With RAC hot on our heels, I'm not so sure I would bill for this. Modifier 53 indicates that the modifier is
not used to report the
elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation. The way I read your statement was that the
patient elected to cancel the procedure by jumping off the table. Also, below are some excerpts from the ASC manual.
Payment is denied when an ASC submits a claim for a procedure that is terminated either for
non medical or medical reasons before the ASC has
expended substantial resources. For example, payment is denied if scheduled surgery is canceled or postponed because the patient on intake complains of a cold or flu.
• Payment at 50 percent of the rate is applied if a surgical procedure is
terminated due to the onset of medical complications after the patient has been prepared for surgery and taken to the operating room but before anesthesia has been induced (use modifier 73). For example, 50 percent is paid if the patient develops an allergic reaction to a drug administered by the ASC prior to surgery or if, upon injection of a retrobulbar block, the patient experiences a retrobulbar hemorrhage which prevents continuation of the procedure. Although some supplies and resources are expended, they are not consumed to the same extent had anesthesia been fully induced and the surgery completed
http://www.medicarenhic.com/providers/pubs/Ambulatory Surgery Center Billing Guide.pdf
I would be hestitant to submit this claim without checking with your local carriers view on this scenario.