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Thread: Discontinued Injection

  1. #1
    Join Date
    Apr 2007
    Long Island/New York

    Default Discontinued Injection

    AAPC: Back to School
    I could use a little input here on this one. Our pain Dr planned on doing a Translaminar, transforaminal and claudal epidural injection. The pt had bony overgrowth that made the Dr terminate the procedure.

    Now, skin anesthesia (lidocaine) was used. Can I consider this induction of anesthesia and bill out the procedures with a 53 mod? Not 100% sure - since it's a local.


  2. #2
    Join Date
    Apr 2007


    Good Morning,

    If you would look in your, Cpt manual Under Appendix A under modifier 53 it will explain how it is used but since the Dr. started anesthesia and (lidocaine was administered I would think that modifier 74 would be more appropriate. You would need to apply V64.3 for procedure not carried out for other reasons in order to get the proper reimbursement .

    Alonna Owens, CPC-H
    Tallahassee Memorial Healthcare(alonna.owens@tmh.org)
    Last edited by ALONNA; 06-24-2009 at 09:12 AM. Reason: e mail address

  3. #3
    Join Date
    Apr 2007
    Long Island/New York


    I'm billing out for the physician. Wouldn't 74 mod be for asc facility?

  4. #4
    Join Date
    Apr 2007
    Lincoln, NE


    For discontinued surgical procedures I bill the -53 modifier on my physician's charge. It's my understanding that the -73/-74 modifiers are reported by the outpatient/ASC facility for their related facility charges.

    Julie, CPC

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