Gastro codes do well with modifier 53, but 52 has some denial traps
Effective Oct 6, 2022
Published Oct 10, 2022
Last Reviewed Oct 6, 2022
The modifiers 52 (Reduced services) and 53 (Discontinued procedure) often confuse providers. While total utilization remains low – 184,489 claims with 52 in 2021 and 30,850 for 53 the same year – your personal patterns may warrant another look, particularly if your practice performs a lot of the tests and exams that make up the bulk of services tied to these claims.
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