Q: What can we report for the physician if circumcision is done during delivery? Do we bill that on a separate claim for the infant? Is this a covered procedure?
Modifier -52 is used to report procedures that are partially reduced or eliminated at the provider’s discretion. Susan E. Garrison, CHCA, CHCAS, CCS-P, CHC, PCS, FCS, CPAR, CPC, CPC-H, looks at how the modifier should be applied in hospitals and tips for compliance.