Neurology & Pain Management Coding Alert

Modifier Madness:

Use 52, 53 to Explain Stopped Surgeries

Here’s the narrow set of circumstances that qualify for modifier 53 coding. When a surgeon has to stop surgery for any reason, coders need to start their lookout for that “stopped surgery” claim, as you could be able to recoup payment for the “stopped service” by using one of two modifiers. Which ones? Modifiers 52 (Reduced services) and 53 (Discontinued [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.