cchenel
New
Can anyone advise me on what type of closures are included in cpt 19120? My provider well documented a difficult CLC, op notes were sent with claim and closures was denied as inclusive to 19120. Thoughts?
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Wiki Cpt 19120
- Thread starter cchenel
- Start date
mitchellde
True Blue
All closures are inclusive to this procedure. If any part of the procedure is well documented as difficult and the reason why you should use the 22 modifier.
BenCrocker
Guest
So is Modifier 22 the counter part of 52 or am I reading too much into it?
mitchellde
True Blue
I guess that could be an accurate summation. You use the 22 when the procedure is documented as being more involved that what is normal for that procedure and no other procedure code describes what was performed. The reason for why the procedure is more involved needs to be clearly evident in the body of the note.