Wiki Should modifier 74 be added????

[marybethscoding]

I have a colonoscopy-- facility coding. Physician completed a polypectomy in the sigmoid colon and was in the process of doing a polypectomy in the cecum when the patient developed tachycardia and he aborted the procedure. He does state in his OP note that he will report the colonoscopy in the future to take out the cecum polyp-- after the patient completes cardiology testing. Would a modifier 74 be added to this procedure?

 

[Nreed]

If the doctor is going to be bringing the patient back for an additional procedure in the near future, you would need to report this modifier (I'm assuming that some type of anesthesia was given) so that the insurance wouldn't think you were duplicating your billing. So, to give a clear picture to the insurance company be it Medicare or whomever, I would definitely report the 74 modifier if done in an ASC.