Wiki Attempted TEE followed by TTE

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JDM1228

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I wanted to get an opinion on the following scenario:

A patient is scheduled for a TEE and the physician gets as far as the transesophageal probe placement when the patient starts having respiratory issues. The procedure is discontinued and the patient ends up having a transthoracic echocardiogram done. Would you code this as 93313 or 93312 with a -74 modifier (anesthesia was administered)?

Thanks!!
 
What about -53? You can use this modifier for extenuating circumstances or those that threaten the well-being of the patient; it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued.
 
I am coding for an outpatient facility so I would use -73 or -74, but pretty much the same as the -53 for physicians. Thanks so much for your reply!!
 
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