52 - JF Part A
Modifier 52
Partially Reduced or Eliminated Services
Instructions
This modifier is used to indicate partial reduction, cancellation or discontinuation of services for which anesthesia is not planned. It provides a means for reporting reduced services without disturbing the identification of the basic service and identifies a situation where a physician reduces or eliminates a portion of a service or procedure. Medicare claims processing system will reimburse for lower of actual charge or Medicare Physician Fee Schedule (MPFS) allowance.
Correct Use
- Append when reporting professional portion of procedure(s) under 096X, 097X or 098X revenue codes for Critical Access Hospital (CAH) Method II outpatient type of bill (TOB) 851s
- When appending, include the following on CMS UB-04 claim form (or electronic equivalent):
- A statement which indicates "reduced services" in remarks section Form Locator (FL) 80
- A brief reason for reduction
- Appropriate charge amount
- Reduce normal fee by percentage of service not provided
- When appending, documentation must include complete reduction reason retained in patient's record
Resource