CPT modifier
Modifier 73: Discontinued before anesthesia (hospital outpatient or ASC)
Modifier 73 is a CPT modifier. In plain terms: A hospital outpatient department or surgery center stopped a procedure after the patient was prepared but before anesthesia was given.
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- Modifier
- 73
- Type
- CPT (Level I) modifier, maintained by the AMA
- Plain description
- A hospital outpatient department or surgery center stopped a procedure after the patient was prepared but before anesthesia was given.
- How it is used
- Facility claims only.
- Claim form
- CMS-1500 item 24D, up to four modifiers per line. 837P SV101-3 to SV101-6.
The CPT descriptor is AMA copyright and is not shown here. The description above is written by Rivvi. Read the CMS guidance linked above for Medicare's rules.
Reduced or stopped services
Related modifiers
- 52Reduced services
- 53Discontinued procedure
- 74Discontinued after anesthesia (hospital outpatient or ASC)
- PTColorectal cancer screening test; converted to diagnostic test or other procedure
- 66Surgical team
- 76Repeat procedure by the same physician
- 63Procedure on an infant under 4 kg
- 77Repeat procedure by another physician
Related pages
Questions
What does modifier 73 mean?
Modifier 73 is a CPT modifier. In plain terms: A hospital outpatient department or surgery center stopped a procedure after the patient was prepared but before anesthesia was given.
Is modifier 73 a CPT or a HCPCS modifier?
73 is a CPT (Level I) modifier. The AMA maintains CPT modifiers. Two-character codes with a letter, such as GT or XU, are HCPCS Level II modifiers from CMS.
Where does modifier 73 go on a claim?
On the CMS-1500 it goes in item 24D next to the procedure code. Each line holds up to four modifiers. On an 837P it goes in SV101-3 to SV101-6.
When is modifier 73 used?
Facility claims only.
What denial comes back when a modifier is wrong?
A missing or mismatched modifier often comes back as CARC 4. A modifier that was not valid on the date of service comes back as CARC 182. A bundling edit the modifier should have bypassed comes back as CARC 97 or 236.