Use Modifier -60 to Correctly Bill Complex Adhesion Removal

Why This Topic Matters

The article is relevant because it addresses a new CPT reporting option that affects how complex operative cases are communicated to payers and documented in operative records. It also highlights the practical billing and reimbursement implications for providers and coding professionals.

Article Sections

1. Introduction to modifier -60

   Overview of the new CPT modifier and the general context for its adoption in surgical reporting.

2. What is an Altered Surgical Field?

   Defines the concept in broad terms and explains why certain operative cases may be considered more complex than routine surgery.

3. Situations May Still Require Using Modifier -22

   Compares circumstances that may fall outside the altered-field concept and remain within the general scope of other complexity reporting.

4. Documentation Requirements

   Discusses the types of documentation and supporting materials referenced for reimbursement review and claim support.

5. Reimbursement Considerations

   Addresses the uncertainty around payer policies, fee schedules, and how claims may be evaluated after the modifier's introduction.