Wiki Patient Expired during Procedure

[kvogel03]

Hello Everyone,

I have a physician that attempted a procedure patient went to into cardiac arrest while attempting to put in a wireless pacemaker. They were able to place a temporary pacemaker during this. The patient expired while on the table. Is anything billable due to the patient expiring?

Thanks

 

[ccditroia@gmail.com]

“… Modifier 53 might also apply if the provider must stop a procedure due to equipment failure or other extenuating circumstances (for example, the provider injures themselves while performing a procedure)…”





I hope this helps. I'm noticing that the use of the word ".... elects to discontinue.." can be confusing using the 53 modifier


https://www.aapc.com/blog/42008-know-the-difference-between-modifiers-52-and-53/

• “…Submit CPT modifier 53 with surgical codes or medical diagnostic codes when the procedure is discontinued because of extenuating circumstances.
• This modifier is used to report services or procedure when the services or procedure is discontinued after anesthesia is administered to the patient…”

“…Guidelines for claim submission and documentation:....."

• Submit the length/amount of procedure completed and reason for discontinuing service in the electronic documentation field (or, if you are approved to submit paper claims, in Item 19)…”

https://www.cgsmedicare.com/partb/pubs/news/2012/0712/cope19315.html

Christine DiTroia CPC