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Thread: attempted procedure

  1. #1

    Default attempted procedure

    AAPC: Back to School
    Please help, one of my ER Dr.s has stated he attempted a closed reduction of a rt hip prosthesis dislocation but was unsuccessful, can I code this and put 52 on it? or should I send it back for more information because that is all he says in my ED course on the medical decision pg..thank you, alice

  2. #2

    Thumbs up

    Hello Alice, yes you can code the attempted procedure with the 52 modifier applied.

  3. #3


    Hi Alice,

    A complete procedure can be billed whether successful or not.

    When a procedure is considered to have failed (expected results not achieved), the procedure is coded as performed. If the usual work of the procedure was not reduced or eliminated, I would not use modifier 52.

    I know some ED providers have a policy of not billing for unsuccessful procedures that will be repeated by a specialist on the same date of service.

  4. #4
    Join Date
    Apr 2007
    Milwaukee WI

    Default Is it documented?

    Yes, you can bill a procedure that is unsuccessful - IF - Big, Red, IF it is documented.

    If ALL the ED physician has written is a brief statement that he tried a closed reduction without success, then I would argue that is not enough documentation to support billing the procedure.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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