Wiki Modifier 22 question

[AR2728]

When adding modifier 22-to an appy for extensive lysis of adhesions as an example--should the fee of the procedure code be increased to represent the additional work? If so, what percent?

 

[FTessaBartels]

Usually ...

First, we require that our surgeons specify the amount of time required for the "extensive lysis of adhesions" ... If it is 1 hour or more then we add the -22 modifier to the primary procedure.

We increase the primary procedure fee by 25%.

Hope that helps.

F Tessa Bartels, CPC, CEMC

 

[AR2728]

Very helpful-Thank You.