uhlerclarem
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We are having great debates on what constitutes use of mod 22 for colonscopies and EGD procedures. One doctor says he was told if it normally takes him 30 minutes to do a colonoscopy and it takes him an hour (because of a spastic redundent colon for example) he could use mod 22. Or if he took off 15 polyops as compared to the normal 3-5, he wants to use mod 22. I was told by a Medicare Auditor a long time ago to think of mod 22 as the "oh my God" factor, that when a claims processor reads a report with a mod 22 attached their reaction would be "oh my God!!" I'm thinking that my endo docs want to overuse this modifier which I told them would raise a red flag with insurances and cause us to be audited. Any thoughts?