Hi there. I don't know much -- but I would use -74, -RT. And the 611.72 if that's what was there originally. (Can you find more info on an H+P or consult?) Did the surgeon say 'breast mass' on pre-operative diagnosis?
Also - even though the procedure was discontinued, you still used your pre-op staff, the OR staff, the supplies, the sedation, the OR for however long it took them to move the pt to post-op/PACU, etc.,..... a LOT more resources than a breast exam.
If possible, I would attach the "op note is coming" info electronically and then fax the op note to the payer; payers we deal with have a hard time with "-74" even though it is clearly the correct modifier to use for 'ASC procedure discontinued after admin of anesthesia.' The op note helps if they will take op notes....some payers will, some won't. Some of our payers will deny and THEN you can fax or send the op note with the appeal.
I don't know about using the "V64.3" - maybe someone else out there has some insight?
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