modifier 22

  1. S

    Wiki Effusion drainage with pleurodesis

    I have a provider who wants to add modifier 22 for draining a pleural effusion at the time of doing a pleurodesis. I don't see it documented that there was increased work, complexity, or time and the office manager is pushing back. Please see the below op note snip and all feedback is welcomed...
  2. S

    Wiki Pleurodesis with drainage of effusion

    I have a provider who wants to add modifier 22 for draining a pleural effusion at the time of doing a pleurodesis. I don't see it documented that there was increased work, complexity, or time and the office manager is pushing back. Please see the below op note snip and all feedback is welcomed...
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    Wiki Kypho with percutaneous posterior instrumentation?

    Please help! We have a patient that had a lumbar burst fracture. Doctor did a kyphoplasty and added posterior instrumentation percutaneously (pedicle screws, rod). He wanted to bill 22514 and 22842, but I told him we couldn't add the 22842 to the kypho. I felt that 22514-22 would be more...
    • fltbaroque
    • Thread
    • instrumentation kypho kyphoplasty modifier 22 spine coding
    • Replies: 1
    • Forum: Orthopaedics
  4. A

    Wiki Excision deep forehead mass

    The doctor removed a forehead mass that went to the skull and complex multilayer closure. The codes I found for forehead mass are 21011-21014 but none of those codes involve the bone. I also looked at code 11420. The doctor is waiting for the pathology report but he believes it might be a...
    • AN2114
    • Thread
    • 11420 21011 bone complex closure dermoid cyst forehead mass mass modifier 22
    • Replies: 4
    • Forum: ENT/Otolaryngology
  5. A

    Wiki Advice for excision of deep forehead mass

    The doctor removed a forehead mass that went to the skull and complex multilayer closure. The codes I found for forehead mass are 21011-21014 but none of those codes involve the bone. I also looked at code 11420. The doctor is waiting for the pathology report but he believes it might be a...
    • AN2114
    • Thread
    • 11420 21014 bone complex multilayer closure deep excision forehead mass mass modifier 22 skull
    • Replies: 2
    • Forum: ENT/Otolaryngology
  6. C

    Wiki Additional Reimbursement for Modifier 22

    I have a provider who is challenging me that he should get additional wRVU value for using modifier 22, I can't find anything on CMS website, and I don't think payors reimburse additionally for this. I think it is just documenting that it took you longer. Any of you experts know any different?
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