Orthopedic Coding Alert

Modifier Myths:

Dispel These Common Modifier 22 Myths

Correctly read and document the extra time spent and work doneIn our last issue, we looked at how modifier 22 may not apply to all orthopedic procedures performed on obese patients. This issue, we're continuing our look at how to accurately report the extended services of your surgeon.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 orthopedist 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 time to justify use of modifier  22," confirms Marcella [...]
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