Results 1 to 2 of 2

Modifier 53?

  1. #1
    Default Modifier 53?
    Exam Training Packages
    My gastroenterologist perfomed an EGD that was terminated early and I need to know if I should use a modifier 53 since it looks like the procedures were actually completed. Here is the actual wording on the Endoscopy report -

    TECHNIQUE: A BITE BLOCK WAS INSERTED IN THE ORAL CAVITY AFTER OBTAINING
    INFORMED CONSENT. THE EGD SCOPE WAS PASSED THROUGH THE OROPHARYNX INTO THE ESOPHAGUS, AND COMPLETE EGD DOWN TO THE SECOND PORTION OF THE DUODENEM, RETROFLEXION IN THE STOMACH.

    FINDINGS: THE ESOPHAGUS APPEARED NORMAL. THE GASTROESOPHAGEAL JUNCTION
    WAS NORMAL. THERE WAS AN 8 TO 10-MM ULCER ALONG THE LESSER CURVATURE OF
    THE STOMACH, IN THE BODY, WITH AN OVERLYING CLOT AND SOME OOZING NOTED, AS
    WELL AS A POSSIBLE VISIBLE VESSEL. EPINEPHRINE WAS INJECTED IN FOUR
    QUADRANTS, WITH ADEQUATE BLANCHING. A HEATER PROBE WAS APPLIED FOR
    ADDITIONAL HEMOSTASIS; HOWEVER, DUE TO DESATURATION, ADEQUATE COAPTIVE
    THERAPY COULD NOT BE ENSURED, AND THE SCOPE HAD TO BE WITHDRAWN AND THE
    PROCEDURE TERMINATED. NOTE THAT WE HAD ALREADY LOOKED AT THE PROXIMAL
    DUODENUM AND THERE WAS NO EVIDENCE OF BLEEDING, AND NO ULCERS NOTED IN THE
    PROXIMAL DUODENUM.

    IMPRESSION: GASTRIC ULCER WITH A SECONDARY UPPER GASTROINTESTINAL BLEED,
    STATUS POST ENDOSCOPIC HEMOSTASIS; THE PROCEDURE TERMINATED EARLY DUE TO
    HYPOXEMIA.

    Any help would be greatly appreciated
    JOJO-CPC-H

  2. #2
    Location
    Beaverton, Oregon Chapter
    Posts
    115
    Smile Modifier 53?
    Sounds to me...since he did not advance to the third part of the duodenum, it would be a modifier 52, as reduced services.
    I code for gastro quite a bit, and in my opinion this is how the procedure should be
    reflected.
    Hope it helps!!

Similar Threads

  1. Replies: 2
    Last Post: 09-18-2015, 02:17 PM
  2. Modifier 59 vs Modifier 91 for Laboratory
    By leahrey in forum Modifiers
    Replies: 1
    Last Post: 06-23-2015, 01:01 PM
  3. MODIFIER PT VS MODIFIER 33 Screening Colonoscopy
    By Ann Johnson in forum Modifiers
    Replies: 2
    Last Post: 07-19-2012, 08:08 AM
  4. Modifier 58 versus Modifier 78
    By Ramona03 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-04-2012, 01:10 PM
  5. Modifier 51 Versus Modifier 59
    By Sborkowski in forum Modifiers
    Replies: 3
    Last Post: 05-26-2009, 04:59 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?

Login

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.