Author Topic: Discontinued Essure reimbursement  (Read 2338 times)


  • Newbie
  • *
  • Posts: 1
Discontinued Essure reimbursement
« on: May 05, 2008, 09:58:56 PM »
I am looking for a sample letter or advice to explain to an insurance company about a failed Essure procedure.  The device is ver'y expensive and I thought that I would try to bill it with a 53 modifier but what else can I do to recoup the cost of the device?  The patients's tubes were not able to be seen so the procedure was discontinued.


  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4921
    • Solutions Medical Billing
Re: Discontinued Essure reimbursement
« Reply #1 on: May 06, 2008, 09:56:52 AM »

   I would recommend billing out the code for the essure procedure with the 53 modifier, like you said.  That modifier describes exactly what you are describing.    I don't think it is necessary to include a letter, the modifier should be enough.

Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF