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Posted By Dorine on 07-08-2020, 10:54:55 in Ob-Gyn
Hello Ob-Gyn group,
Doctor states on ultrasound report impression that patient was referred for TV U/S for postmenopausal bleeding. Attempt to perform is unsuccessful. Pt could not tolerate probe insertion. TA approach then was used. No appropriate images were done due to increased mobility of the Intestine and shadowing, there are 5 images uploaded. I believe I should only bill the TV with modifier 53. Please advise if otherwise. Thank you so much for your assistance!
Comments (2)
Posted By Dorine on 07-08-2020, 15:17:42
Thank you Melanie!
Posted By Melanie Witt on 07-08-2020, 15:09:31
First, you can only report a modifier -53 if the procedure is stopped and no other procedures are performed. A modifier -52 on the TV would indicate that the physician elected to not perform something described in the code, but in this case he performed nothing so I cannot see that working either. It also appears that he may not have done a complete TA, but rather a limited one so just be sure the documentation does support a complete TA. Unless he documented significant additional work in doing the TA, I would not report a modifier -22 either. This is one of those times where you may not get paid for all of the work performed.
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