AMA CPT® Assistant - 2012 Issue 9 (September)
Appendix A (Q&A) (September 2012)
September 2012 page 18 Appendix A Question: May modifier 22, Increased Procedural Services, be appended to add-on codes? Answer: Yes. When the service(s) provided is substantially greater than what is typically required for the listed procedure, it may be identified by adding modifier 22, Increased Procedural Services, to the usual procedure code. The word "procedural" in the descriptor of modifier 22 is intended to indicate that the modifier may be appended to any procedure code, but is not used with the evaluation and management (E/M) service codes. As always, documentation should be included in the medical record to support...
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Article Overview
This article provides a brief CPT Assistant question-and-answer entry focused on general coding guidance for procedural services. It is relevant to coders, auditors, and billing staff who need to understand the scope of modifier use and related documentation expectations in a CPT context.
Why This Topic Matters
It helps readers identify a small but important coding policy issue in procedural reporting and clarifies that the discussion applies in a CPT coding environment. The article is useful for anyone reviewing modifier policy or preparing supporting documentation for claims review.
What You Will Learn
- The article’s general topic within CPT Assistant Q&A format
- How modifier usage is addressed at a high level
- Why documentation support is part of the discussion
- How the guidance relates to procedural coding versus E/M services
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Compliance personnel
- Practice managers
Modifiers Discussed
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