In the recently published Coding Clinic for HCPCS, the AHA presented revised guidelines for hospitals on how to report reduced services.  For procedures that utilize anesthesia, modifier -74 should be utilized to indicate the service was reduced, not modifier -52.  Modifier -52 may only be appended to procedure codes describing procedures that do not use anesthesia.  See the ZHealth Publishing subscriber newsletter dated May 11, 2012 for additional information.

The reporting of reduced services for physician billing has not changed.  Modifier -74 is not used for physician billing.