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Termed procedure

  1. #1
    Default Termed procedure
    Medical Coding Books
    Doctor was preforming a Yag Cap laser on a patient, he was 3/4 the way through the procedure when the laser broke, shouldn't this be billed as a terminated procedure. It is documented in the record that the machine broke. The physican wants to bill this out without 53 modifer, but I am saying the documentation will not support, Any thoughts? Thanks

  2. #2
    Sioux Falls South Dakota
    I would use the 53 modifier, as the procedure was not completed. As you state, the documentation shows that it was discontinued.
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

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