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Procedure terminated reason not necessary

Kelly Posted Fri 16th of October, 2015 16:31:34 PM

patient was anesthitized with lidocaine biliary duct was accessed and contrast injected. After the injection the order physician contacted the radiologist and said th ERCP was successful so the PTC was no longer necessary. The radiologist terminated the procedure. Should 47500-53 and 74320-26 still be billed or does this cross the line of ethics

SuperCoder Answered Mon 19th of October, 2015 03:09:02 AM

Thanks for your question.

We cannot code 47500 with modifier 53 because we will use this modifier only when the procedure is terminated due to complication, but as per documentation, there is no complication mentioned. This procedure is terminated only as there is no requirement. The better way to code this service with modifier -52 (Reduced Service).

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