Modifier -52 or -53

Modifier -52 or -53

January 9, 2020

Question:
Physician was performing a spine injection and the patient chose to only have local anesthesia. During the procedure (before the medication was injected) the patient was uncomfortable and couldn’t tolerate the position, so the physician stopped the procedure. Would you use modifier -52 or modifier -53 for billing this?

Answer:
Since the physician stopped the procedure out of concern for the patient, modifier -53 would be the most appropriate modifier to use.

*This response is based on the best information available as of 01/09/20.

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