Advanced Search

Urology Coding Alert

Reader Question:

Discontinued Procedure

Published on Sat Jan 01, 2000

Question: How do you charge for a discontinued procedure (-53 modifier)? What would the fee be for Medicare and private pay patients? How is it determined?

Anonymous Va. Subscriber

Answer: When submitting a claim for a procedure with the -53 modifier, do not reduce your fees in advance. Send an operative report so that the insurance carrier can make a determination on the amount to be paid, then do your write-offs afterward.
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 Revenue Cycle Insider
  • 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

Other Articles in this issue of

Urology Coding Alert

View All