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Printed Date: 9/22/2015
Description — Reduced services
This modifier is used to report a service or procedure that is partially reduced or eliminated at the physician's discretion.
Guidelines and Instructions
Requires documentation to be submitted with the CPT 52 modifier:
Note: Surgical services submitted with CPT modifier 52 but do not include both the complete operative report and separately identified concise statement will be rejected as "unprocessable" and must be resubmitted as new claims.
"Non-surgical procedures" with the CPT modifier 52 appended require:
Ophthalmology — CPT code 92136
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Last Updated: 07/16/2020