decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Surgery - Multiple / Use Modifier -22 to get Extra Review of a Claim
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Article Overview
This article covers a surgery billing scenario involving multiple procedures performed on the same day and the use of a claim modifier that can prompt manual review by the payer. It is intended for coding and billing professionals who need a general understanding of when the topic arises, what type of documentation may be submitted, and why review time may be extended.
Why This Topic Matters
It helps coders and billers recognize a common surgery claim situation that can affect review workflow and payment processing, especially when a payer may need to evaluate a claim manually.
What You Will Learn
- How the article frames multiple surgeries performed on the same day
- What general purpose the modifier serves in the claim review process
- Why additional documentation may be submitted with the claim
- How payer review can affect processing time
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Surgery billing staff
Modifiers Discussed
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