123ArticleOnline Logo
Welcome to 123ArticleOnline.com!
ALL >> Health >> View Article

Know When To Append Modifier 53

Profile Picture
By Author: Nancy Rose
Total Articles: 53
Comment this article
Facebook ShareTwitter ShareGoogle+ ShareTwitter Share

If you want to craft a career in medical coding, you have to master not just the codes but also get a grip on ways to append modifiers.


Here are a few tips on ways to handle your modifiers right.


You expected things to proceed normally when a file came to you for coding, but now you realize that things did not go as you had planned it to be. Do you report the case, or was the extent of your doctor's work covered by pre-op care?


Do you append modifiers 53 (discontinued procedure) or just submit the appropriate surgical or anesthesia code? Here are some tips on ways to handle these scenarios correctly every time.


If you are considering to report modifier 53, keeping a few things in mind will certainly help.


When a physician stops a procedure due to extenuating circumstances or those that threaten the well-being of the patient, you should go for modifier 53, which describes an unexpected problem, beyond the physician's or patient's control that require sending the procedure. ...
... The physician does not choose to discontinue the procedure as much as he is forced to do because of circumstances.


Modifier 53 is for services that are discontinued for very specific reasons. Here are three things you must watch out for:


The patient develops a contraindication and the procedure must be discontinued because of patient health reasons


The physician can't carry on with the procedure owing to some reason


The equipment isn't functioning right and the procedure must be cancelled


You should make use of modifier 53 if one of these reasons does not apply. The only exception might be that Medicare wants modifier 53 for a patient who is prepped to have a colonoscopy but the prep is not adequate and hence the patient must be re-prepped and the colonoscopy done at a later time.


And what if the above situations do not apply to your case? Although non-Medicare payers can make their own rules, most would lead you to go for modifier 52 instead of 53.


The world of medical coding is one of the fastest growing in the medical field, but many would-be medical coders do not realize the full spectrum of employment opportunities. So getting updated and knowing more about consultations in 2010

Total Views: 170Word Count: 391See All articles From Author

Add Comment

Health Articles

1. Transform Your 2025 New Year’s Resolution With Yoga
Author: Yog Kosha

2. Tooth Extractions In Surat: Costs, Procedures, And Expert Care
Author: Elegance Clinic

3. Navigating The Best Urology & Kidney Care In Chennai
Author: prakash

4. The Impact Of Stress On Women’s Reproductive Health
Author: Dr Pankaj Lodha

5. Understanding Hernia Surgery Costs And Finding The Best Hernia Surgeon In Chennai
Author: ganesh

6. Best Nephrology Hospital In Hyderabad
Author: PACE

7. Are Dental Implants Safe? How Dental Implants Work: Procedure And Recovery Timeline !
Author: Riverplace Periodontics

8. Can Frontline Spray Be Used On Cats?
Author: VetSupply

9. Kids Smiles Dentistry
Author: Dr. Jina Rasouli

10. The Road To Marriage: Why Pre-marital Counselling Is Key To Relationship Success
Author: Arnav Arora

11. Best Hospital In Pune - Onp Prime Hospital
Author: Prisha Patil

12. Psychological Safety: The Key To Thriving Teams And Innovation
Author: Linda Ray

13. Best Dental Clinic In South Delhi
Author: Dental Arche

14. Are Greenies Dental Treats Good For Dogs?
Author: VetSupply

15. Is Osteocare Good For Dogs?
Author: VetSupply

Login To Account
Login Email:
Password:
Forgot Password?
New User?
Sign Up Newsletter
Email Address: