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E/M or Pre Op - Procedure Cancelled

  1. Default E/M or Pre Op - Procedure Cancelled
    Medical Coding Books
    The doctor has evaluated a patient for an argon laser treatment, but when the patient is taken to the Laser Room the Laser is not functioning. Is there an office visit billable or will this be included in the pre op for the procedure when the patient returns on another day for treatment?

  2. #2
    I think that this would not be billed out of common courtesy, if nothing else.

    I don't see how you could justify the medical necessity of it, it wasn't going to be charged if the laser worked, so why would it be charged since it didn't?

    Laura, CPC

  3. Default
    That was my gut response as well.


  4. #4
    Columbia, MO
    you can bill it as a cancelled procedure, using the 53 modifier, just be sure to incude a dx code from the V64 category as a secondary dx.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Read the definition of the 53 modifier carefully before you consider that option.

    Based on your description of what happened, I don't think that would be appropriate.

    Laura, CPC

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