MA Discontinued Services

Professional 
When a physician or other qualified health care professional elects to terminate a surgical or diagnostic procedure due to extenuating circumstances, the service can be identified by appending modifier 53 to the procedure code. The reporting modifier 53 signifies the procedure was started but discontinued. Blue Cross and Blue Shield of Nebraska reimbursement for professional discontinued procedures is reduced by 50% of the allowable unmodified amount. Multiple procedure reductions still apply when applicable.