Wiki modifier -22 for ASC physician coding

mckay

New
Messages
1
Location
Anaheim, CA
Best answers
0
Can modifier -22 be used with coding services performed by a physician in an ASC setting? My impression is that it is not allowed since it is not approved in the outpatient or the ASC settings, per AMA CPT guidelines. Beckers-ASC's list of modifiers for physician and facility coding in the ASC setting also does not have modifier -22 included. However, I have been informed by a seasoned medical coder that it can be used for an ASC setting. Someone please clarify.
 
If you are coding for the facility, no it cannot be used. If your coding for the physician, yes it can be used.
 
Last edited:
I code/bill for both Physician and ASC and I absolutely do add modifier -22 on the Physican's claim when necessary and do get reimbursed. It's only the ASC claim you cannot add -22 on. ;)
Jenna
 
Top