tci General Surgery Coding Alert - 2008 Issue 7
Consider These Circumstances for Modifier 22
"Increased" circumstances that might call for modifier 22 include (but are not limited to): - excessive blood loss for the particular procedure - presence of excessively large surgical specimen (especially in abdominal surgery) - trauma extensive enough to complicate the particular procedure and not billed as additional procedure codes - other pathologies, tumors, malformations (genetic, traumatic, surgical) that directly interfere with the procedure but are not billed separately - services rendered that are significantly more complex than described by the CPT code in question. Additional circumstances that might (but not necessarily) merit modifier 22 include morbid obesity, low birth...
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