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melanie.bleem@gmail.com

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Local Chapter Officer
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Havana, IL
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We had a parent bring a child in to do a quick check to see if an arm was broken. My doctor was only able to get one view of the forearm. All the of upper extremity codes are per two views. Is this a case where I add a -52 modifier as reduced services or simple change the fee to reflect a single view? The child was in too much pain to get a second shot. I'm missing the spot in my CPT that verifies this in Xray. Thank you!
 
IMO, I think it qualifies for a 53. The attempt was made to complete the procedure, but it had to be discontinued for reasons beyond the provider's control. Certainly it was not a threat to life, but by continuing to completion would have caused undue pain and suffering to the patient. 52 would be appropriate if it was the intention not to complete it. That's not the case here.
 
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