RaeToll
Networker
I have a claim that denied CPT 93312-52 as non-covered. The EOB states: Consult plan benefit documents/guidelines for information about restrictions for this service. The procedure note shows upon intubation attempt, the patient desaturated and was placed on oropharyngeal airway. A second attempt was made for TEE intubation and the patient again desaturated. The procedure was then aborted.
Is it corrected to bill CPT 93312 with modifier 52 to indicate reduced services? Or should CPT 93312 not have been reported as the probe was never even intubated?
Is it corrected to bill CPT 93312 with modifier 52 to indicate reduced services? Or should CPT 93312 not have been reported as the probe was never even intubated?