• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki OBGYN IUD Removal Aborted?

veloso

Expert
Messages
262
Location
Beechhurst, NY
Best answers
0
Hi All,
Can I bill for 58301with modifier 52 for Attempted Removal of IUD done on 1/04/2019 and it was COMPLETED in the OR with same Physician on 1/10/2019 please see OP report below;

Procedure Note for 1/01/2019
Speculum placed in vaginal cavity cervix identify, no IUD strings visualized at cervical os. A cytobrush was used to attempt to uncoil IUD strings this was unsuccessful. Attempt to remove IUD aborted as IUD strings not able to be seen on exam.
*
Assessment:
32 y.o. with
1. Intrauterine contraceptive device threads lost, initial encounter Case Request: HYSTEROSCOPY, DIAGNOSTIC, REMOVAL IUD
2. Attempted IUD removal, unsuccessful *

Procedure Notes for 01/10/2019 (with Complete OP Report on File)
** *HYSTEROSCOPY, DIAGNOSTIC (N/A Vagina )
** *REMOVAL IUD (N/A )

Thank you for any Input/s
 
I would use modifier 53, not modifier 52. Modifier 53 is used when the procedure is not completed due to extenuating circumstances.
 
Top