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Question:
When billing for the hospital, if the physician starts an atrial fibrillation ablation procedure but must abort the procedure due to the patient’s condition, do I charge for the procedure and add modifier 74? He placed the sheaths and the catheter.
Answer:
If you are billing for the hospital, then yes, you code the procedure planned/started with the 74 modifier.
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
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