| April 2006 · Vol. 18, No. 4 REIMBURSEMENT ADVISER
If IUD insertion fails and payer balks, try the manufacturer
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Fast Track
The failed attempt to insert an IUD renders the device unusable
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Melanie
Witt,
RN, CPC-OGS, MAIndependent coding and documentation consultant; former program manager, Department of Coding and Nomenclature, American College of Obstetricians and Gynecologists
Q How should I code a failed insertion of a Mirena IUD? The company advised us to use the modifier -53 for the supply and the procedure.
A In this situation, -53 (discontinued procedure) is not correct. The correct modifier for a failed procedure is -52 (reduced services), which should be added to the procedure code for the insertion (58300).
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