tci Part B Insider - 2007 Issue 35

MODIFIERS: Throw Out The 25-Percent Rule For Modifier 22

Beef up your documentation for the 59 modifierHeads up: The requirements for modifier 22 are becoming much stricter in January.Old rules: You use the 22 modifier when your physician provides a service that is -greater than that usually required for the listed procedure.- A report on the reason for the modifier -may also be appropriate.-New rules: Your physician's work must be -substantially greater than typically required.- And your documentation must support the -substantial additional work.- You also must list the reasons why the doctor had to work harder, such as increased intensity, added time...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 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

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.