Which modifier is included in the interrupted services provision under OPPS?

In the context of the outpatient prospective payment system (OPPS), the modifier used for interrupted services is 73. This modifier specifically indicates that a surgical procedure was started but discontinued prior to the administration of anesthesia or the incision being made. When services are interrupted, it’s crucial to denote this using the appropriate modifier to avoid reimbursement issues, as it signifies that the service was initiated but not completed due to specific circumstances.

Using modifier 73 appropriately helps to ensure that these unique cases are tracked and managed accurately within the billing process, so healthcare providers can receive proper compensation for the resources and time spent, even if the procedure was not performed to completion. This aligns with the billing and compliance standards set by OPPS for outpatient services, thereby supporting the financial structure of healthcare operations.