Results 1 to 4 of 4

attempted procedure

  1. Default attempted procedure
    Exam Training Packages
    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. 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
    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

Similar Threads

  1. Attempted procedure - attempted angioplasty
    By amcdonough in forum Cardiology
    Replies: 2
    Last Post: 07-29-2014, 12:43 PM
  2. Attempted procedure - consecutive days afte
    By KHYATT@2016 in forum Modifiers
    Replies: 0
    Last Post: 12-17-2013, 07:00 AM
  3. Attempted procedure icd9
    By eortega in forum Diagnosis Coding
    Replies: 0
    Last Post: 05-10-2013, 03:23 PM
  4. Intended/ Attempted Procedure
    By mallory615 in forum Billing/Reimbursement
    Replies: 2
    Last Post: 02-29-2012, 02:43 PM
  5. attempted procedure??
    By NJcoder in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 02-16-2009, 11:00 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.