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no access obtained

  1. Default no access obtained
    Medical Coding Books
    Can you bill a diagnostic cardiac cath, 93530.26 with .52 modifier if the physician was unable to obtain access due to occlusion in the femoral and iliac. He spent 2 hours to try to attempt access.
    Thanks so much for your response!

    KathySuper, CPC
    Midwest Ped Cardiology

  2. #2
    Milwaukee WI
    Default 53 modifier
    Cardiology is NOT my area of expertise, BUT ...

    If you need a modifier, I would think a -53 modifier for discontinued procedure would be more accurate.

    What I try to remember is the -52 is used when the physician planned to perform a lesser service. The -53 is used when the physician fully intended to perform the entire procedure, but had to discontinue for patient safety, or unforeseen complications.

    Per Encoder Pro 99350 does accept the -53 modifier (also takes -52)

    Hope that helps

    F Tessa Bartels, CPC, CEMC
    Last edited by FTessaBartels; 02-26-2010 at 10:43 AM.

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