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Modifier 53 or Critical Care
A patient was brought to OR emergently for perforated esophagus and mediastinal air. During intubation he crashed and the surgeon performed extensive resusitation. The patient was stabilized and the assistant surgeon placed a chest tube for drainage before returning patient to CCU where he crashed and was resusitated and stabilized again by the surgeon. It does not seem correct to bill with a modifier 53 as the case never got underway. Is there anything other than Critical Care time that I should be billing for the surgeon?
emergent
Depends on documentation. Consider also emergency intubation and CPR.
Thank you
I assumed CPR was included in critical care, but don't see it listed in the included services. Once again thank you for your help and expertise.