Modifier 53 Fact Sheet - Novitas Solutions
In order to help you avoid claim denials and future appeals due to incorrect submissions, we are providing guidance on how to properly submit a claim when applying this modifier.
Modifiers 52 and 53 vs. 73 and 74 - AAPC Knowledge Center
Jun 13, 2018 · The modifier provides a means for reporting reduced services without disturbing the identification of the basic service. Modifier -53 is used to indicate discontinuation of physician …
53 - JE Part B - Noridian
May 9, 2025 · This modifier allows the physician community to state the surgical procedure was discontinued due to extenuating circumstances or a threat to patient well-being.
Modifier 52 vs. 53: Which One to Use and When
Aug 15, 2025 · Modifier 53 is for discontinued procedures, when the provider must stop for safety or medical reasons after the service has begun. Using the correct modifier isn’t just a matter of coding …
Procedure Coding: When to Use the Modifier 53 - Continuum
Feb 19, 2019 · Modifier 53 is outlined for use on CPT codes in order to indicate discontinued services. This means it should be applied to CPTs which represent diagnostic procedures or surgical services …
Modifier 53 Description, Examples & Accurate Usage Guide
Feb 4, 2025 · Billing teams use modifier 53 when there is a critical reason for discontinuing a procedure. These include extenuating circumstances (unexpected events beyond anyone’s control), like …
Modifier 53 in Medical Billing - Usage, Examples & Guidelines
Oct 27, 2025 · Modifier 53 helps providers secure partial reimbursement for procedures that are discontinued due to unforeseen circumstances. It reduces the risk of claim denials and …
(2023) Modifier 53 | Discontinued Procedure Explained - Coding Ahead
Under certain circumstances, the physician may elect to terminate a surgical or diagnostic procedure due to extenuating circumstances or those that threaten the patient’s well-being. In that case, …
Jurisdiction M Part B - CPT Modifier 53 - Palmetto GBA
Apr 5, 2023 · When appropriate, add CPT modifier 53 to the code reported by the physician or practitioner for the discontinued procedure. Additional actions are also required when this modifier is …
Know the Difference Between Modifiers 52 and 53 - AAPC
Apr 24, 2018 · Do not reduce your fees when reporting a procedure with either modifier 52 or 53. Instead, documentation should provide substantial detail to allow the payer to make a reimbursement …