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 [...]