tci Part B Insider - 2006 Issue 3

Part B Coding Coach: Learn the Truth Behind These 4 Modifier 22 Myths--And Avoid More Denials

A longer-than-normal procedure does not automatically justify modifier 22 Did you know that performing lysis of adhesions during surgery is not always a reason to apply modifier 22? If not, you could be coding--and recouping reimbursement--non-compliantly. Once you’ve learned the secrets to using this special tool, you’ll find that “denials” and “modifier 22” don’t have to go hand-in-hand. Make sure you’re not falling victim to any of the following coding myths: Myth 1: “The physician’s surgery was longer than expected, and she wants me to find a way to code to...

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