Wiki Modifier 52 for timed services

[Bran19]

I was told that the AMA may have updated the guideline for modifier 52 as it applies to timed services. PT's and chiro's regularly use the 52 to report that a service was performed for less time than identified in the code description. In searching everywhere, I am unable to find a reference to this. Does anyone have information regarding this? Any links or direct references you can give me would be wonderful!

Thanks in advance.

 

[m.j.kummer]

It was not revised by the AMA in the 2015 CPT manual.

 

[mitchellde]

It was not revised by the AMA in the 2015 CPT manual.

You cannot use a 52 on a timed service. The minimum reportable time is more than 50% of the stated time for the service. So for instance a 15 minute service must have documentation of 8 minutes or more. 1 hour must have documented 31 or more and so on. If you do not have the minimum then the service is not reportable.