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superorozco

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Can you bill a diagnostic cardiac cath, 93530.26 with .52 modifier if the physician was unable to obtain access due to occlusion in the femoral and iliac. He spent 2 hours to try to attempt access.
Thanks so much for your response!

KathySuper, CPC
Midwest Ped Cardiology
 
53 modifier

Cardiology is NOT my area of expertise, BUT ...

If you need a modifier, I would think a -53 modifier for discontinued procedure would be more accurate.

What I try to remember is the -52 is used when the physician planned to perform a lesser service. The -53 is used when the physician fully intended to perform the entire procedure, but had to discontinue for patient safety, or unforeseen complications.

Per Encoder Pro 99350 does accept the -53 modifier (also takes -52)

Hope that helps

F Tessa Bartels, CPC, CEMC
 
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