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Modifier 22 Moves for Ob-Gyn Coders

Posted on 22. Jul, 2009 by in Hot Coding Topics

This U/S tactic will save you time — and add money to your bottom line.

Appending modifier 22 (Increased procedural services) may be something you think you’ve got down pat, but that doesn’t mean your ob-gyn coding will always be error-proof.

Review the following three frequently asked modifier 22 questions — answered by our ob-gyn coding experts —  and discover solid advice on how much longer a procedure should take to append modifier 22, if you can use an unlisted procedure code instead, and whether you have regular CPT code alternatives.

Service Should Take 25 Percent More Than Usual

Question: How much longer should the procedure take in order for me to bill modifier 22?

Answer: Some experts suggest that you shouldn’t use modifier 22 unless the procedure takes at least twice as long as usual. Several memorandums from Medicare carriers indicate that time is an important factor when deciding to use...

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