tci Part B Insider - 2006 Issue 2

NEUROSURGERY: Opt To Send An Operative Report When Using Modifier 22

Find out why including a cover letter can make all differenceYou know that surgical procedures can sometimes produce unusual circumstances, and if this is the case, you may have to add modifier 22 to your CPT code. Here's one example of how modifier 22 can pump up your reimbursement for extensive adhesiolysis during disketomy.Support your modifier 22 (Unusual procedural services) claims by comparing the "unusual" procedure to a "normal" procedure of the same type. Along with the full operative report, provide a cover letter with your claim, spelling out in clear language exactly why and how the procedure...

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