tci General Surgery Coding Alert - 2006 Issue 4
READER QUESTIONS: Decide Between 22 and Unlisted-Procedure Codes
Question: How should I determine when to report a specific CPT code with modifier 22 rather than an unlisted-procedure code? For instance, our surgeon asks us to report procedures that take extra time and effort with an unlisted-procedure code so he can better explain what he did. But I think we should be submitting the procedure code with modifier 22.Pennsylvania Subscriber Answer: If CPT provides a code that properly describes a procedure, you should report that specific code. If the physician documents significant additional time or effort to complete the procedure, you may append modifier 22 (Unusual procedural...
To read the full article, sign in and subscribe to tci General Surgery Coding Alert.
Thank you for choosing Find-A-Code, please Sign In to remove ads.