The official rule is No Modifiers on Unlisted codes. Which makes sense as far as pricing modifiers like -22 or -52. But what about -26 for unlisted radiology or lab procedures? Or -62, Co-surgeons on a case? Or -66, Team surgery (think face transplant). Or -78, Unplanned return to the OR in the post-op period? -82 for assistant surgeon?
I would agree that not all modifiers would be appropriate for all unlisted codes, but the blanket statement of "no modifiers" seems extreme. I wanted to send this to the CPT Assistant, but I can't find a way to submit the question without joining the AMA for $250.
Does anyone agree? And does anyone know how to submit this scenario to the AMA for review in the CPT Assistant?
Thanks!
I would agree that not all modifiers would be appropriate for all unlisted codes, but the blanket statement of "no modifiers" seems extreme. I wanted to send this to the CPT Assistant, but I can't find a way to submit the question without joining the AMA for $250.
Does anyone agree? And does anyone know how to submit this scenario to the AMA for review in the CPT Assistant?
Thanks!