Wiki Need help coding discontinued procedure


Johnstown, CO
Best answers
Here is the situtation: the patient presented to the office for removal of a forgin body. An x-ray reveals that the forgin body is 1.5 to 2 inches into the soft tissue. The area is marked, local anesthesia was administered, and the skin and surrounding tissue cleaned. At this point the patient changed his mind and did not wish to continue with the procedure. The anestesia wounds were bandaged and the patient dressed and left the office.

My question is which modifer to append to the procedure code?
52: Reduced Services doesn't feel right as all of the prep work was done and I feel like I'm jipping the physician.
53: Discontinued Procedure doesn't quite fit because the difinitition states "Under certain circumstances, the physician may elect to terminate a surgical or diagnostic procedure. Due to extenuating circumstances or those that threaten the well being of the patient..."

Any advise?

Thank you

Tammy Sue Keyes
Fort Collins, Colorado
I agree with Angela. 53 would be appropriate. The doc wouldn't be jipped if you submit the documentation to show what was done. With the 53 mod, payment should be based on the documentation.