When To Use The -22 Modifier

CodeCast | Medical Billing and Coding Insights

All CPT codes have an expected range of complexity and uses, but when a particular procedure or surgery performed has exceeded the normal range of complexity, modifier -22 can come into play. Modifier -22 is defined as increased procedural services and demonstrates when a physician has gone above and beyond the typical framework of a particular procedure.

When used appropriately, modifier 22 reimburses the physician for unforeseen difficulties or additional time spent that are not usually anticipated for the procedure. However, as most coding staff know, it takes some savvy coding and insight for proper reimbursement, and will take more than simply attaching a modifier to a service code if your provider is to be compensated accordingly. Terry discusses how to be successful when using the 22 modifier.

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