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Coding for Procedure Unsuccessful

  1. #1
    Cool Coding for Procedure Unsuccessful
    Medical Coding Books
    I need help on coding for this PICC that was unsuccessful. Here is the Dr. documentation.

    "The patient was preppped and draped in a sterile fashion using ultrasound guidance. The basilic and brachial veins were located. We did gain access with a needle to both of these veins, but we were unable to thread a wire successfully. After several attempts, procedure was aborted and Interventional Radiology consult has been written. Approximately 1 hour was spent on this."

    Would I code for the procedure and then add a modifier, if so which modifier?

    Thanks for any help.
    Randi


    "Life isn't about waiting for the storm to pass...It's about learning to dance in the rain."

  2. #2
    Default Coding for Procedure unsuccessful
    Hi - I probably would code the procedure using the appropriated procedure code and append with a 53 modifier Discontinued Procedure and send the operative note along with the claim
    Deborah, CPC

  3. #3
    Default Thanks
    Thank you, that is what I was thinking but I wanted a second opinion.

    Thank you again.
    Randi


    "Life isn't about waiting for the storm to pass...It's about learning to dance in the rain."

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