Denial rates on 10 procedures with modifier 22 for which CMS paid the most

Article Overview

This premium article examines how modifier 22 appeared in CMS claims data and compares payment and denial patterns for a set of procedures that drew the highest Medicare-paid amounts. It is useful for coding, billing, and revenue-cycle professionals who want to understand how modifier usage is reflected in claims outcomes and why some submissions are more likely to be rejected. The article also references examples of high-volume and high-dollar procedures, along with broader context about claim frequency and payment experience.