Results 1 to 5 of 5

Modifier 53!!!

  1. #1
    Jamaica/ Manhattan
    Default Modifier 53!!!
    Medical Coding Books
    I have 2 questions regarding this modifier...
    1. if there are 9 scheduled procedures and the surgery is stopped after anesthesia for extenuating circumstances DO ALL 9 CPT CODES ARE BILLED WITH MODIFIER -53 OR JUST THE PRIMARY CPT CODE?

    2. If an assist surgeon is required for the above surgery, could I submit a claim for all 9 CPT CODES FOR THR ASSISTANT SURGEON?

    I couldn't fine any information on CMS or AMA...HELP!!!!

  2. #2
    Salt Lake city
    Was the physician able to do all 9 procedures? If not you can't bill for them even though they were scheduled. I would just bill for what he was able to do and add mod 53 to each procedure if he was not able to fully complete them. I would also send the claim w/op notes. Same with the assist charges. I have never had this situation happen before so this is just my opinion hope it helps.

  3. #3
    Milwaukee WI
    Default Answered in Modifier forum
    Duplicate post ... I answered in the Modifiers forum.

  4. #4
    Jamaica/ Manhattan
    Where can I find any written guidelines on this modifier?

    The doctor did not start the surgery

  5. #5
    Salt Lake city
    Look in the CPT book apendix A it gives a good descrition about mod 53. If the Dr. did not do anything on the patient no incisions or exams then I don't think you can bill for anything.

Similar Threads

  1. Replies: 2
    Last Post: 09-18-2015, 01:17 PM
  2. Modifier 59 vs Modifier 91 for Laboratory
    By leahrey in forum Modifiers
    Replies: 1
    Last Post: 06-23-2015, 12:01 PM
  3. MODIFIER PT VS MODIFIER 33 Screening Colonoscopy
    By Ann Johnson in forum Modifiers
    Replies: 2
    Last Post: 07-19-2012, 07:08 AM
  4. Modifier 58 versus Modifier 78
    By Ramona03 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-04-2012, 12:10 PM
  5. Modifier 51 Versus Modifier 59
    By Sborkowski in forum Modifiers
    Replies: 3
    Last Post: 05-26-2009, 03:59 PM

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.