Wiki Pci

[amym]

Hello everyone! Can I append a -22 modifier if case is taking longer than usual? Under what circumstances is it approprite to append -22 modifier?

 

[jewlz0879]

Per CPT, 'Increased Procedural Services:' Documentation must support the substantial additional work and the reason for the wadditional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required).

Here are a couple different resources you can use to determine, based on documentation, if your case meets requirement(s) for 22 modifier.

http://www.wpsmedicare.com/part_b/claims/submission/2009_0608_modifier22.shtml

http://www.wpsmedicare.com/part_b/resources/modifiers/modifier-22.shtml

http://www.medicalcodingexperts.com/Flashdemo/modifier22.html

http://news.aapc.com/index.php/2011/06/append-22-to-unusually-difficult-procedures/

HTH