modifiers

Has anyone every heard of using BOTH modifiers 53 & 74 at the same time for a procedure that ended up being cancelled after it was started? I know you would use one or the other but I have never heard of using them at the same time.

Modifiers

By same provider--- No

Modifiers

Physician uses 53. Facility uses 74 if sedation already started, 73 if not.

modifiers

we are being told by our "auditor" to use 53 on discontinued procedures in hospital outpatient.

Modifiers

Coders should use modifiers -73 and -74 to report discontinued outpatient procedures. Modifiers -73 and -74 are used to report discontinued procedures when extenuating circumstances or those that threaten the well- being of the patient cause the physician to cancel a surgical or diagnostic procedure subsequent to the surgery. Modifier -73 identifies procedures discontinued prior to the administration of anesthesia. Modifier -74 identifies procedures discontinued after the administration of anesthesia or after the procedure was started (e.g., incision made, intubation started, scope inserted). For purposes of billing Medicare, anesthesia is defined to include local, regional block(s); moderate sedation/analgesia ("conscious sedation"); deep sedation/analgesia; or general anesthesia.
Modifier -53 - Modifier -53 isn’t valid to report under the hospital OPPS. You should use modifier -53 to indicate discontinuation of physician services. It is not approved for reporting outpatient hospital services.