Results 1 to 5 of 5

Thread: Discontinued Procedures

  1. #1
    Join Date
    Apr 2007
    Location
    Minneapolis
    Posts
    194

    Question Discontinued Procedures

    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
    Join Date
    Apr 2007
    Location
    Louisville, KY
    Posts
    1,100

    Thumbs up

    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.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

  3. #3
    Join Date
    Apr 2007
    Location
    Columbus, OH
    Posts
    53

    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
    Treasurer, Columbus AAPC

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

  4. #4
    Join Date
    Apr 2007
    Location
    Minneapolis
    Posts
    194

    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.

Similar Threads

  1. Discontinued procedure
    By abctibbett@gmail.com in forum OB/GYN
    Replies: 4
    Last Post: 04-02-2014, 02:12 PM
  2. Re: Discontinued procedures
    By dvance4210 in forum Cardiovascular Thoracic
    Replies: 1
    Last Post: 01-13-2014, 10:31 AM
  3. discontinued procedure help!!
    By cmcruz in forum Modifiers
    Replies: 2
    Last Post: 02-23-2012, 07:11 PM
  4. Discontinued procedures
    By LLovett in forum Cardiovascular Thoracic
    Replies: 0
    Last Post: 04-13-2010, 02:43 PM
  5. Discontinued Sedation..help?
    By renifejn in forum Anesthesia
    Replies: 0
    Last Post: 08-06-2009, 07:09 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •