tci ED Coding & Reimbursement Alert - 2008 Issue 3

Stop Observing 25-Percent Rule for Modifier 22

Modifier descriptor gets 2008 revision According to the latest CPT manual, the requirements for modifier 22 (Increased procedural services) are becoming much stricter in January. Here's the latest news on new modifier rules for 2008.Old rules: You use modifier 22 (2007 descriptor: Unusual procedural services) when the physician provides a service that is "greater than that usually required for the listed procedure," according to CPT 2007. A report on the reason for the modifier "may also be appropriate."New rules: Your physician's work must be "substantially greater than typically required," states CPT 2008. And your "documentation...

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