Corporate Compliance

Tip: Using modifier -74

Compliance Monitor, September 28, 2005

Use modifier -74 when, due to extenuating circumstances, the physician cancels a surgical or diagnostic procedure after the administration of anesthesia or after the procedure was started.

The following are tips for using modifier -74:

  • The patient has to be taken to the room where the procedure is to be performed to report modifier -74

  • Do not report the elective cancellation of a service before the administration of anesthesia or surgical preparation of the patient

  • When one or more of the planned procedures is completed, report the completed procedure as usual; do not report the other procedures that were planned but not started

  • When none of the planned procedures are completed, report the first procedure that was planned to be performed with modifier -74; do not report the other procedures

    The above tip is an excerpt from the book "Modifier Training Handbook for Hospital Billers and Coders," Copyright 2004 by HCPro, Inc. This book is an easy-to-use training guide for billers, coders, and their HIM supervisors and managers that's written in plain English and takes the confusion out of the appropriate use of hospital modifiers.

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