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Modier 53

  1. #1
    Default Modier 53
    Medical Coding Books
    Our office experienced rolling black outs in Feb. One on my physicians had a patient in the OR, under anesthesia, when all of the sudden, the power went out. The procedure had to be discontinued. He did perform the surgery 2 days later, successfully.

    Can he bill the procedure code with a modifier 53? I know you can bill this if something like irregular heart beat starts or something to that effect, but I'm not sure about power outages.

  2. #2
    Default blackouts
    I don't see why not. I would send the OP note with it, hopefully it explained what had happened. What did anesthesia do? Are they billing?

  3. #3
    Columbia, MO
    Yes you may bill this with a 53, you also need a V64.x (I would use V64.3) as a secondary dx code and link it to the procedure as well.

    Debra A. Mitchell, MSPH, CPC-H

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