How would phenol injections to the superior hypogastric plexus be reported when, following multiple-needle positioning attempts at the right and left L5 region, the procedure is discontinued due to the patient’s increased heart rate and suboptimal dye spread?
Answer:
Code 64681, Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric
plexus, should be reported once with modifier 53, Discontinued procedure, appended. Modifier 53 indicates
that due to extenuating circumstances or those that threaten the well being of the patient, the physician
elected to terminate a procedure.
Answer:
Code 64681, Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric
plexus, should be reported once with modifier 53, Discontinued procedure, appended. Modifier 53 indicates
that due to extenuating circumstances or those that threaten the well being of the patient, the physician
elected to terminate a procedure.
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