Wiki Essure bilateral failed on one side

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nishwitzp

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Collinsville, IL
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Can anyone help with this?
Dr did Essure in office R side completed no problem, L side attempted but failed. Can we bill the 58565 ?
If so does it need a modifier?
 
Failed on initial attempt? We still bill 58565 but depending on the circumstances, would add -51 Reduced or -53 Discontinued procedure modifier.

Is the patient is having a repeat procedure for the side that failed? Modifers -76 & -77 are for repeat procedures. Also add modifier -52 for unlilateral procedure the second time.
 
Right tube placed first attempt, attempted left tube, two tips bent attempting, could not place the device.
Will not be doing another Essure, but a tubal ligation.

Thanks
 
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