Results 1 to 3 of 3

how to code failed multiple spinal taps?

  1. #1
    Everett, WA
    Default how to code failed multiple spinal taps?
    Exam Training Packages
    The physician was unable to establish CSF flow after 4 attempts were made. Choice of modifiers; 22 (to increase payment?, or 53 (reduce payment). Was looking at 52 as well. What would be the most accurate way to code this unsuccessful procedure(s)? I'm inclined to go with the 53, but the reduction for multiple attempts is a little unsettling. Asking for opinions from the experienced ones on here. -Suzanne E. Byrum, CPC

  2. #2
    Everett, WA
    Default no takers on this one? Should I post in another thread?
    Still looking for an answer while waiting on someone from this site to answer, please! ---Suzanne

  3. #3
    Milwaukee WI
    Default Which CPT?
    This is not my area of expertise, BUT ...

    First, which CPT are you coding ... 62270 (diagnostic spinal tap) or 62272 (therapeutic for drainage of fluid)?

    IF DIAGNOSTIC - From your description I would say the physician actually performed the entire procedure; he just didn't get the CSF he needed.
    I would code the 62270.

    IF THERAPEUTIC - I'd be inclined to use the -53, but would still code it multiple times ... you'll probably need a -76 modifier (repeat procedure) on the susequent attempt.

    NOTE - I am NO expert in this area. I'm just trying to use the "logic" of CPT guidelines and modifier descriptions, and sort of "writing out loud."

    Hope that was helpful.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Multiple levels of spinal fusion
    By anicole76 in forum Neurology/Neurosurgery
    Replies: 8
    Last Post: 09-25-2014, 06:07 PM
  2. coding multiple levels of spinal fusion
    By anicole76 in forum Neurology/Neurosurgery
    Replies: 1
    Last Post: 02-21-2014, 06:00 AM
  3. Replies: 1
    Last Post: 03-05-2010, 08:52 AM
  4. Modifier for Failed spinal tap procedure
    By anuja.devasthali in forum Modifiers
    Replies: 1
    Last Post: 09-30-2009, 06:33 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
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.