tci Part B Insider - 2013 Issue 4

Modifiers: This MAC Will Ask for Additional Documentation if You Append Modifier 22

Make sure the physician documents the extra work, and doesn’t just say "see op report." Citing "confusion" about how to properly use modifier 22, one Medicare carrier issued new rules on this modifier in 2012 that you must follow if you want to collect the extra pay that comes with this "increased procedural services" modifier. WPS Medicare, the Part B payer for Illinois, Minnesota, and Wisconsin, reminded practices that modifier 22 should only be used for "additional work that is not typically part of the procedure," but can’t be described by another CPT®, HCPCS, or...

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