Provider Training – Modifier 52
Instructor
Brittany Sowards, BA, CPC, CPMA, CCC, CCVTCDescription
This 15-minute webinar explains Modifier 52 (Reduced Services): when and how to use it, documentation requirements, and distinctions from other modifiers like 53. You’ll learn to apply it correctly so your billing is accurate, defensible, and compliant.
Key Takeaways
- Understand what Modifier 52 means and when a service qualifies as “reduced” rather than full or discontinued
- Identify differences between Modifier 52 and Modifier 53 to know which to use in various scenarios
- Recognize documentation expectations: reason for reduction, percent completed, start/stop times, and provider rationale
- Apply best practices by selecting more specific codes when available instead of using Modifier 52 unnecessarily
- Implement compliance strategies to audit and validate appropriate use
- Evaluate payer rules and avoid applying Modifier 52 in disallowed contexts (e.g. E/M codes, aborted due to risk)
Who this course is for
- Providers and surgeons performing procedural services who may adjust scope intra-operatively
- Coding professionals and auditors who must validate the correct use of modifiers
- Practice administrators, revenue cycle staff, and compliance personnel ensuring modifier use aligns with payer rules
Why it matters
- Protect revenue by capturing partial services correctly when full execution isn’t possible
- Prevent denials and compliance issues through accurate modifier use and documentation
- Reduce audit risk by following distinctions and rules around reduced vs discontinued services
What you get
- 15-minute webinar — focused, practical content you can watch on your schedule
- Transcript & slides available for review and reference
- Insights you can apply immediately to documentation and coding workflows
FAQs
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About our Medical Coding Courses
HIAlearn, powered by Health Information Associates (HIA)—a leader in medical coding and auditing for more than three decades—offers a flexible, online education platform designed for today’s coders. With a growing catalog of AHIMA and AAPC-approved coding courses, HIAlearn supports both beginners and experienced coders looking to build confidence, accuracy, and CEU credits.
Courses are available across various coding types including CPT, E/M, ICD-10-CM, and ICD-10-PCS, and are designed for multiple specialties including inpatient, outpatient, profee, and CDI.
To stay up to date, coders can explore our Coding Updates hub for the latest ICD-10-CM, ICD-10-PCS, CPT, and IPPS changes. HIAlearn also supports organizations with group discounts and scalable team access, promoting accuracy, compliance, and continuous professional development across departments.
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