CPT modifier
Modifier 74: Discontinued after anesthesia (hospital outpatient or ASC)
Modifier 74 is a CPT modifier. In plain terms: A hospital outpatient department or surgery center stopped a procedure after anesthesia was given or after the procedure began.
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- Modifier
- 74
- Type
- CPT (Level I) modifier, maintained by the AMA
- Plain description
- A hospital outpatient department or surgery center stopped a procedure after anesthesia was given or after the procedure began.
- 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
- 73Discontinued before anesthesia (hospital outpatient or ASC)
- PTColorectal cancer screening test; converted to diagnostic test or other procedure
- 76Repeat procedure by the same physician
- 77Repeat procedure by another physician
- 66Surgical team
- 78Unplanned return to the operating room in the postoperative period
Related pages
Questions
What does modifier 74 mean?
Modifier 74 is a CPT modifier. In plain terms: A hospital outpatient department or surgery center stopped a procedure after anesthesia was given or after the procedure began.
Is modifier 74 a CPT or a HCPCS modifier?
74 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 74 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 74 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.