Results 1 to 5 of 5

Modifier 73

  1. #1
    Default Modifier 73
    Medical Coding Books
    Can we (ASC) bill for a cancelled procedure where they have administered a femoral block (64447), and then found out the patient had an infection, before going to the OR? Patient had to go to PACU for recovery because of the block. Patient will be rescheduled for next week. I do not have dictation yet...

  2. #2
    Location
    Columbia, MO
    Posts
    12,531
    Default
    The description for the 73 states the patient must be in the room where the procedure is to be performed when the decision to discontinue is made use the 73 if anesthesia has not been administered and 74 if it has, also you will need to use as a secondary dx code a code from the V64 catergory. Your documentation will be an op/procedure note dictating the need to discontinue and the location of the decision. If the patient was not already in the OR room, then you may not report the procedure discontinued.

  3. #3
    Default
    The patient was moved from pre-op to the Procedure Room, where they do all other nerve blocks for Pain Management. That's where they did the block, but not yet to OR. I have coded 73/74 several times in the past, but this is a tricky one for me.

  4. #4
    Location
    Columbia, MO
    Posts
    12,531
    Default
    So I would say no then since the procedure was to be done in the OR... code for the block instead.

  5. #5
    Default
    Thanks Mitchell! That's what I was thinking, just needed confirmation that my sleepy head is working!

Similar Threads

  1. Replies: 2
    Last Post: 09-18-2015, 02:17 PM
  2. Modifier 59 vs Modifier 91 for Laboratory
    By leahrey in forum Modifiers
    Replies: 1
    Last Post: 06-23-2015, 01:01 PM
  3. MODIFIER PT VS MODIFIER 33 Screening Colonoscopy
    By Ann Johnson in forum Modifiers
    Replies: 2
    Last Post: 07-19-2012, 08:08 AM
  4. Modifier 58 versus Modifier 78
    By Ramona03 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-04-2012, 01:10 PM
  5. Modifier 51 Versus Modifier 59
    By Sborkowski in forum Modifiers
    Replies: 3
    Last Post: 05-26-2009, 04:59 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.