I have a questions about 53 modifier use for injections... Our nurse had problems giving an expensive injection last night. Can we bill the 90772 with a 53 modifier and the medication that was 'ruined'? I've searched the CMS website, but was unable to find information to help. Has this happened to anyone? Below is the nurse chart documentation:

"Pt in office as walk in for Risperdal Consta injection. Blood aspirated upon injection, injection not given. New injection ordered and should be here tomorrow. Will call pt when arrives. MM"

I will ask her to document more detail as far as the medication used. This is for a Medicaid patient. Please help! Thanks! Susan