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Wiki Reduced AND Increased services

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JADAMS71

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One of my surgeons did a second look laparotomy with left hemicolectomy and mobilization of splenic fixture. He did not do an anastomosis. I understand that I should code a modifier 52 for reduced services because of that. The surgeon is requesting a 22 modifier and has documented that the surgery took 2 hours instead of 30 mins due to the patient being overtly septic, morbid obesity and extremely high splenic fixture making mobilization more difficult. I need suggestions for proper modifiers. Can I use a 52 and a 22 on the same procedure? It doesn't seem like that would be right.
 
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