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Pulmonology Coding Alert

You Be the Coder:

Watch Your Modifiers When Coding Discontinued Procedures

Published on Fri May 16, 2014

Question: Can we still bill CPT® code 95811 with modifier 52 if our pulmonologist started a polysomnography test but had to stop after 15 minutes because the patient couldn’t tolerate the procedure? Alabama Subscriber Answer: When submitting a claim with a discontinued procedure, you should submit the claim as you would normally but append with the modifier 52. The payer will determine [...]
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