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KX modifier for an attempted pacemaker placement

Date: Nov 3, 2023

Question:

Do we need to add the -KX modifier for an attempted placement of a dual chamber pacemaker?

"Patient was given Ancef for antibiotic prophylaxis. Several angiograms were performed in the AP cranial AP views to visualize the axillary and subclavian veins. Ultrasound guidance was utilized to try to visualize the axillary vein. Despite multiple attempts access could not be obtained. The procedure was aborted, and family wishes to have the procedure done at the XX Clinic." 

Are we allowed to bill 33208-74 and append the -KX mod for an MCR patient? 

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