BC Advantage - 2009 Issue 5
Modifier 22
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Article Overview
This article reviews CPT modifier 22 and the general circumstances that may prompt its consideration in professional claims. It focuses on the documentation expectations, payer scrutiny, and the kinds of supporting information coders and providers should be prepared to present. The piece is aimed at coders, billers, and clinicians who need a practical understanding of how unusual procedural services are discussed in reimbursement contexts.
Why This Topic Matters
Modifier 22 is closely watched by payers and can affect whether additional reimbursement is considered. Understanding the article helps readers recognize the documentation and claim-support themes associated with unusual procedural services.
What You Will Learn
- The general purpose of CPT modifier 22
- The types of circumstances that may be discussed in relation to unusual procedural services
- The documentation themes that support review of an increased-work claim
- Why payer review and follow-up are important for these claims
Who Should Read This
- Medical coders
- Medical billers
- Physicians
- Surgeons
- Revenue cycle staff
Codes Discussed
Modifiers Discussed
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