tci ED Coding & Reimbursement Alert - 2009 Issue 8

READER QUESTIONS :Watch For CPT 2009 22 Error

Question: CPT 2009s inside cover states that the definition for modifier 22 is Unusual procedural services. Has the AMA changed the definition of this modifier? South Carolina Subscriber Answer: The definition of modifier 22 should not be Unusual procedural services. In 2008, the modifier  descriptor was changed to Increased procedural services. However, the change didnt make it to the inside cover and was corrected with an AMA Corrections Document. Example: A special-needs patient who is very large and muscular presents to the ED with a cut on his right forearm. The ED physician performs a simple 6.5 cm...

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