Discontinued Procedure - Reimbursement Policy - UnitedHealthcare Commercial Plans

Overview

The term "Discontinued Procedure" designates a surgical or diagnostic procedure provided by a physician or other health care professional that was less than usually required for the procedure as defined in the Current Procedural Terminology (CPT®) book. Discontinued Procedures are reported by appending Modifier 53 (Discontinued Procedure). It is not appropriate to use Modifier 53 if a portion of the intended procedure was completed and a code exists which represents the completed portion of the intended procedure.

Policy Codes

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* COMM-Discontinued-Procedure-Policy.pdf
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