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When should CPT Modifier-52 be used ?

Modifier-52 is used to describe circumstances in which services provided were reduced in comparison to the full description of the service. When a physician does not complete a procedure in its entirety the procedure must be billed by appending modifier-52 or in other words if a physician elects to partially reduce or discontinue the procedure for reasons other than the patients well being being threatned, modifier-52 may be used. Note: For hospital outpatient reporting of a previously scheduled … [Read more...]

Filed Under: Modifiers, Ophthalmology Tagged With: Cardiology, General Surgery

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