tci Medicare Compliance & Reimbursement - 2006 Issue 34

BILLING: Warning--Don't Use Modifier 22 Unless You Can Show Extra Work

It's not enough to document previous procedure.Heads up: A clarification of modifiers 22 and 51 could be coming within the next year--and it's not too soon to prepare. The American Medical Association's CPT Editorial Panel discussed these modifiers at the panel's June meeting in Las Vegas, and they're on the agenda again for October's Washington, D.C. meeting. According to observers, the panel wants to clarify the instructions for when you should use both modifiers.The problem: The 22 modifier (Unusual procedural services), in particular, is a challenge for many practices, says Maxine Lewis with Medical Coding Reimbursement...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.