What is “52 modifier” in medical billing?

52 Modifier in Medical Billing

The 52 modifier is used to indicate that a procedure or service was partially reduced or eliminated at the physician’s discretion.

52 Modifier in Medical Billing Explained

In medical billing, the 52 modifier is applied to a procedure code to show that the service provided was less extensive than what was originally planned or described. It allows for partial payment in cases where the full procedure was not completed.

For example, a surgeon may use the 52 modifier if a surgery was started but could not be fully completed due to patient complications.

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