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Discontinued Procedures

  1. #1
    Question Discontinued Procedures
    Medical Coding Books
    Quick question - If a procedure is discontinued/cancelled due to contraindication do you use a modifier when billing the anesthesia for this procedure?

    Thanks
    Missy Heuer CPC

  2. #2
    Location
    Louisville, KY
    Posts
    1,101
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    Since the procedure was "cancelled due to contraindication," I would guess this was prior to Anesth? If so, I wouldn't imagine there'd be much of a bill for the CRNA/Ans Attending.

    However, if anesth. had been administered, you would indicate an anesthesia code that would represent the most complex portion of the procedure completed and bill start/stop times, like normally. Your ICD would be where you'd indicate the contraindication. To my knowledge there is no modifier indicative of a discontinued anesthesia service.

    Hope that helps.

  3. #3
    Default
    We advise providers that since anesthesia is based on time, a discontinued procedure modifier isn't appropriate. You just bill the appropriate amount of time.
    Amy Crego, CPC, CPC-P, CPMA, CRC
    Vice President, Columbus, OH AAPC

    One can never consent to creep when one feels an impulse to soar. ~ Helen Keller

  4. #4
    Default
    Thanks for the help. That is what I thought, but I wanted to get some other opinions on it.

  5. #5
    Default
    Some insurance companies allow the billing of an E&M service by the anesthesiologist if the surgery is canceled.

    If the surgery must be discontinued, the anesthesiologist would bill for the amount of time anesthesia was administered.

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