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Wiki Modifier 53-Can anyone help

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mdmom1997

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Can anyone help me with this question? How will modifier 53 affect reimbursement? will it pay 100% of the procedure or will it decrease the payment for the physician? Thanks!
 
It will reduce payment. Payer may review and decide how much they want to pay based off how far the physician made it through the procedure. Some payers may have a set rate. The payer I work for pays 50% of the contract rate.
 
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