tci General Surgery Coding Alert - 1999 Issue 3

Modifier 22 Recommended for Endoscopic Linton Procedure

Question: What is the proper coding for an endoscopic Lintons operation (subfascial ligation of incompetent perforators)?Anonymous Subscriber OHAnswer: There is no code as yet for an endoscopic Linton procedure, so the open procedure code, (37760, ligation of perforators, subfascial, radical [Linton type], with or without skin graft]) should be used with a -22 modifier (unusual procedural services) attached. This claim should be accompanied by an operative report and a cover letter from the surgeon that describes why the procedure was performed. This is a new procedure, and not all physicians are trained to do it and not all...

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