Modifer -53???

lcole7465

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Brooklyn, MI
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My provider was to perform a Vertiflex on a patient in the ASC - Anesthesia started giving the patient Mac & IV sedation and the patient became unresponsive & stopped breathing. My provider assisted in ventilating the patient, after the patient awoke, the provider decided to cancel the procedure. My question is since anesthesia was provided and the procedure was cancelled, would I still bill for the procedure with modifier -53?

Thank you
 

LisaAlonso23

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Sherman, TX
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No, you would bill for the anesthesia time. Modifier 53 will be submitted by the surgeon. You may, however, use a code under Z53.x following the primary diagnosis to indicate the procedure was aborted and why.
 

lakooms

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Maumelle, AR
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I am new to this procedure. If your Doctor performs this in a hospital Operating Room (the hospital bills their codes) how would you bill the professional component from his office?
 
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