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Payment for modifer 22

  1. #1
    Default Payment for modifer 22
    Medical Coding Books
    Hi All

    Does anyone know the percentage Medicare will pay over and above the allowed amount for modifier 22 Thank You

  2. #2
    I don't think there is anything specifically published on the amount since it's pretty rare to use it. I've never used it, but I think the best bet would just be to try it with required documentation and see what happens.

  3. #3
    I have used it on rare occasion when our urologist had to perform a little longer surgery than anticipated due to unanticipated issues. We have been reimbursed by MCR but I couldn't tell you the percentage. Sorry

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