DecisionHealth, DecisionHealth - 2019 Issue 6 (June)

Claiming modifier 22? Make sure it’s extra work, then make your case

Question: Our surgeon performed an acetabular fracture (27254) and it took him a great deal longer than usual owing to the patient’s obesity. He wants to use modifier 22 (Increased procedural services) to be paid for the extra time. What do we have to give CMS to get that paid?

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