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Thread: Modifier 54, 52 or none?

  1. #1

    Default Modifier 54, 52 or none?

    AAPC: Back to School
    One of my doctors was called into the OR, ER doctor had done a lap appy and called her in for an ovarian cyst. she removed it, then the er doctor finished. would this be 54? 52? No modifier? Thanks-Wen

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default 52 and 54

    If ... Big RED IF
    Your surgeon did not open or close, but merely removed the ovarian cyst, then YES, you should append a -52 modifier.
    ALSO .. if your surgeon is NOT going to see the patient at all postoperatively, you should also append a -54 modifier.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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