There are two occasions for general surgical procedures when I use modifier 22 (unusual procedural services). One of these is if lysis of adhesions is performed during abdominal surgery such as open appendectomy and the operative note documents that more than two hours of time were required to perform the lysis (CPT 44950-22). The other occasion is for a laparoscopic procedure converted to an open procedure such as endoscopic cholecystectomy with cholangiography converted to open cholecystectomy (CPT 47562-22).
Are these appropriate uses of modifier 22?
Also, does anyone have experience as to whether Medicare and private insurers increase their fees to reimburse for the inclusion of modifier 22?
Thanks in advance for your reply (replies)
ljmosh
Are these appropriate uses of modifier 22?
Also, does anyone have experience as to whether Medicare and private insurers increase their fees to reimburse for the inclusion of modifier 22?
Thanks in advance for your reply (replies)
ljmosh