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Incomplete Colon or No colon billed?

Selina Posted Tue 24th of March, 2020 14:11:15 PM
The anesthesia was administered, but before the colonoscope was inserted the procedure was cancelled due to broncho spasms. Should this be billed at all? OR bill with 53 prof/74 fac? Thank you!
SuperCoder Answered Wed 25th of March, 2020 02:23:28 AM

Hi Selina,

 

The appropriate CPT code should be billed with 53 or 74 modifier depending on the location where the service has been rendered by the provider.

 

Modifier 53 (Discontinued Procedure) apply to physician services whereas Modifiers 74 apply to facility charges (Out-Patient Hospital/Ambulatory Surgery Center (ASC).

 

Below mentioned is link for more understanding:

 

https://www.aapc.com/blog/42791-modifiers-52-and-53-vs-73-and-74/

 

Thanks!

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