ENDOCODER
Networker
I work in a freestanding ASC. Can someone tell me if Modifier 22 is payable billing Medicare for facility charges or is this a physician claim only Modifier?
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Wiki Modifier 22
- Thread starter ENDOCODER
- Start date
Modifier 22 is applicable to procedure codes only. An example would be:
Example 1
Performance of craniotomy, craniectomy, twist drill or burr hole procedure is unusually lengthy, complicated or difficult.
Peformance of cesarean delivery of twins is unusually difficult, emergent or other unusual circumstances complicate the procedure.
Example 1
Performance of craniotomy, craniectomy, twist drill or burr hole procedure is unusually lengthy, complicated or difficult.
[h=5]
Coding[/h]61863-22 or 61864-22 or 61867-22 or 61868-22. Documentation must show the complications encountered.
[h=5][/h]Example 2Coding[/h]61863-22 or 61864-22 or 61867-22 or 61868-22. Documentation must show the complications encountered.
Peformance of cesarean delivery of twins is unusually difficult, emergent or other unusual circumstances complicate the procedure.
[h=5]Coding[/h]59510-22 for both babies, along with the appropriate ICD-10 codes for the complication, twins, outcome of birth by cesarean delivery, and week of pregnancy.