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David Posted 6 Year(s) ago

One of our surgeons was called into the OR by and OB/GYN for colovesical fistula repair. Our surgeon did not open or close the patient but only provided a two layer closure of the bladder for the fisutla. After he completed that two layer closure the OB/GYN completed the closure of patient. We are thinking the billing should be 44660 with modifier 52 indicating reduced services. Any input would be appreciated.

SuperCoder Posted 6 Year(s) ago

I think we don't need to use modifier 52.
Let's come to the definition:Under certain circumstances, a service or procedure can be partially reduced or eliminated at the provider’s discretion. Under these circumstances, the service provided can be identified by its
usual procedure code and the addition of Modifier 52, signifying that the service is reduced not at his own discrtion.
Now, the urosurgeon did the part of the procedure expected and not reduced or eliminated on his own discretion, as the other provider did the rest.

Posted by David, 6 Year(s). There are 2 posts. The latest reply is from SuperCoder.

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