Which modifier should be used when a surgeon terminates a procedure due to the patient's condition?

Get ready for the AAPC Certified Professional Medical Auditor Test. Enhance your skills with multiple choice questions, each designed to provide thorough explanations. Excel in your exam preparation!

The appropriate modifier to use when a surgeon terminates a procedure due to the patient's condition is Modifier 53. This modifier is specifically designated for use in situations where a surgical procedure is abandoned prior to completion because of extenuating circumstances or the patient's deteriorating condition.

By applying Modifier 53, the provider communicates that, although the intended procedure was not completed, significant resources were still utilized, and the situation warrants reimbursement consideration. This is important for accurately reflecting the circumstances of the procedure and ensuring proper coding for claims processing.

While there are other modifiers with specific applications, they do not fit this situation regarding the abandonment of a procedure. For example, Modifier 23 indicates that a procedure was performed under unusual anesthesia circumstances, which does not relate to the condition of the patient leading to the termination of the surgery. Other modifiers mentioned do not pertain to surgical procedures being discontinued due to patient issues, making Modifier 53 the clear choice in this scenario.

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