AAPC - Back to school
Results 1 to 2 of 2

Thread: Should I use modifier 53 no this?

  1. #1

    Default Should I use modifier 53 no this?

    AAPC: Back to School
    Ok. This is the situation, and I'm hoping for other thoughts on this. We had a patient who was scheduled for a left breast mastectomy and sentinel node (19303 & 38525).
    My question is: Is this one of those situations where I should bill the 19303 with the 53 modifier? I know I can bill the 19290 & 76942,26. I'm just wondering about the discontinued portion.
    Thank you for any input. Here is the op report:

    Left breast carcinoma.

    Ultrasound directed needle localization of breast lesion.

    The patient was seen in the operating room just prior to her surgery. The area of the left breast, 9:00 to 10:00 position was visualized and the tumor was clearly identified. Photographs were taken and then the localization wire was admitted into the breast at 3 cm and secured in place. Sterile dressing was applied. Sterile preparation and proceeded. However, before we could proceed with the operation, patient suffered aspiration of gastric contents requiring abandonment of the subsequent operative procedure.

  2. #2
    Join Date
    Apr 2007
    Cherry Hill, NJ


    yep, modifier -53 would definitely apply here, the patient was on the table, and the surgeon had to stop because of patient condition, I would go ahead with the modifier. hope this helps!

Similar Threads

  1. Replies: 2
    Last Post: 09-18-2015, 01:17 PM
  2. Modifier 59 vs Modifier 91 for Laboratory
    By leahrey in forum Modifiers
    Replies: 1
    Last Post: 06-23-2015, 12:01 PM
  3. MODIFIER PT VS MODIFIER 33 Screening Colonoscopy
    By Ann Johnson in forum Modifiers
    Replies: 2
    Last Post: 07-19-2012, 07:08 AM
  4. Modifier 58 versus Modifier 78
    By Ramona03 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-04-2012, 12:10 PM
  5. Modifier 51 Versus Modifier 59
    By Sborkowski in forum Modifiers
    Replies: 3
    Last Post: 05-26-2009, 03:59 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?


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.