73 - JE Part A
Prior Discontinued Ambulatory Surgical Center (ASC) or Outpatient Hospital
Due to extenuating circumstances or circumstances that threaten the patient's well-being a surgical or diagnostic procedure can be discontinued, prior to anesthesia administration in an outpatient hospital or ASC only. A physician may bill for the intended procedure but report the discontinuation of the procedure using this modifier.
- Append if discontinuation occurred prior to procedure starting or prior to patient's surgical preparation (including sedation or taken to procedure room)
- Append if discontinuation occurred prior to administration of anesthesia (local, regional block or general)
- Do not append to service if cancellation is patient elective and made prior to administration of anesthesia and/or surgical preparation
- CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, Chapter 4, Section 20.6.4
Last Updated Mon, 12 Dec 2022 15:47:53 +0000