tci Outpatient Facility Coding Alert - 2017 Issue 12

Reader Question: Look to This Advice When Appending Modifier 22

Question: We recently submitted a claim where we appended modifier 22 because the surgeon spent an extra 50 minutes on the procedure due to an unforeseen anatomical abnormality that caused complications. But, when the payment came in, it just reflected the standard fee for the surgical code. Do you think we might receive full reimbursement if we appeal the denial? Louisiana Subscriber Answer: For the first submission, payers do not usually pay extra for a surgery appended with modifier 22 (Increased procedural services). An appeal will most often be necessary for the surgeon to receive full reimbursement. According to...

To read the full article, sign in and subscribe to tci Outpatient Facility Coding Alert.


TCI's Outpatient Facility Coding Alert helps your facility stay profitable by covering issues that are important to you — everything from billing strategies and appropriate payment indicators to coding tips and tricks, analysis of industry trends, and so much more. Subscribe today and let our experts make your job easier.

  • Current newsletters added each month
  • Fully searchable archives - over 650 articles
  • ALL years/issues back to 2012 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

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