Forum - Questions & Answers

Aug 28th, 2015 - JenKocher

Binocular Microscopy Procedure Abandoned Due To Patient's Anxious Resistance

An otolaryngolost is faced with an autistic, anxious patient, a child, who has a foreign object lodged in his ear canal. The ENT intends to do a binocular microscopy, Procedure 92504, to take a look at the foreign object. The ENT gets as far as placing the ear funnel in the ear when the patient physically moves away. The ENT decides the patient is too large to restrain and decides not to continue, instead recommending the removal of the foreign object under anesthesia.

Given these circumstances, is it appropriate to bill for Procedure 92504, Binocular Microscopy?

Thank you.

Aug 28th, 2015 -

re: Binocular Microscopy Procedure Abandoned Due To Patient's Anxious Resistance

Yes, you can but you need to add the modifier 53 stating it was a discontinued proecdure which means you will get paid less for the procedure, but at least its not a total loss



Home About Contact Terms Privacy

innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain)

Copyright © 2000-2023 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association