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modifier 52 for reduced services

Anh Posted Thu 26th of July, 2012 17:10:37 PM

can I used mod 52 for discontinued/cancelled services after anesthesia induction. Please help.

SuperCoder Answered Thu 26th of July, 2012 21:54:22 PM

52 Modifier – Reduced Services. Under certain circumstances, a service or procedure is partially reduced or eliminated at the physician’s discretion.
If the reduced procedure is surgical, an operative report must be submitted along with the claim and a separate concise statement indicating how the service differs from the usual. If the reduced procedure is non-surgical, a statement or report must be submitted describing how the service performed differs from the usual. Reduced services are not to be used with an Evaluation and Management (E/M) service.
The proper use of the 52 modifier would apply when the procedure performed doesn’t have a specific CPT/HCPCS code that describes what was performed but a code that describes most of the performed procedure. The 52 modifier should not be used to describe the procedure that was intended but not completed.

If billing for physician use 53 Modifier-
Discontinued Procedure. Under certain circumstances, the physician may elect to terminate a surgical or diagnostic procedure.

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