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Neurosurgery Coding Alert

Modifier Mythbuster:

Debunk These Top Modifier 22 Myths

Published on Fri May 27, 2011

Right use of modifier 22 can yield the right paymentsLast issue we learned that modifier 22 cannot be universally used in any obese patient. Read ahead to know how the time spent for a procedure and the quantum of additional work done by the surgeon are other two factors which need caution when appending modifier 22.Myth #2: A Little Extra Time Means Extra Pay"CPT® does not provide specific direction as to the specific amount of time and/or percentage increase of time or work required to compliantly report modifier 22," says Marvel J. Hammer, RN, CPC, CHCO, president of MJH Consulting in Denver. The typical rule of thumb, however, is your neurosurgeon must spend at least 50 percent more time and/or put in at least 50 percent more effort than normal for you to append modifier 22. "There should be documentation of at least a 50 percent increase in work and/or [...]
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