AAPC - Back to school
Results 1 to 4 of 4

Thread: cx surgery 58563 modier?

  1. #1
    Join Date
    Apr 2007

    Exclamation cx surgery 58563 modier?

    AAPC: Back to School
    Is there a valid modifier that I can use when a surgery has been cx after the anesth. has been applied..I used 74 and it came back from medicare as "procedure code and modifier were invalid on the date of service" help please?

  2. #2
    Join Date
    Apr 2007
    Watertown, NY


    if you are not a hospital or ambulatory surgery center and the ablation was actually started i would use modifer 53 if the procedure hadn't been started i dont think?? you can bill for the procdure

  3. #3
    Join Date
    Apr 2007

    Thumbs up

    thank you very much, I will do that...we did started but we had to stop the procedure!

  4. #4
    Join Date
    Apr 2007
    Charlotte, NC

    Default Aborted ablation

    How far did your provider get into the procedure? 58563 is for a hysteroscopy with ablation. Did you provider get a dx hysteroscopy completed before ending the procedure? Do you think the provider could bill a 58555? By any chance did the provider do a biopsy? If so you could bill 58558. I guess the point I make is that you have choices of appending modifier 53 or chosing another cpt code based on how far he got and what he actually got done while he was in there.

    Angie Wood, CPC

Similar Threads

  1. Modier 25 and diagnostic test on same day
    By mlburnett in forum Modifiers
    Replies: 4
    Last Post: 10-15-2013, 06:41 PM
  2. Modier 25 again
    By sallen7113 in forum Modifiers
    Replies: 1
    Last Post: 01-16-2013, 03:25 PM
  3. modier 24
    By rychastrin in forum Urology
    Replies: 3
    Last Post: 01-23-2012, 10:48 AM
  4. Modier 53
    By meganbruce in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 03-07-2011, 10:50 AM
  5. 58563
    By bethh05 in forum Outpatient Facilities
    Replies: 1
    Last Post: 02-03-2011, 08:55 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.