tci General Surgery Coding Alert - 2003 Issue 9

Test Yourself: Opt for -22 Over an Unlisted-Procedure Code

Question: Our physician asks us to report procedures that take extra time and effort with an unlisted-procedure code so he can better explain what he did and why it didn't exactly fall under a CPT code. He also says that the payer will have to read the operative report, so there is a better chance for reimbursement. I think we should be submitting the procedure code with modifier -22. Who is right? New Jersey Subscriber Answer: You can adopt this new rule of thumb: Don't use an unlisted-procedure code instead of modifier -22 (Unusual procedural services) to report additional...

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