I've never seen documentation of a "magic number" of polyps to determine use of 22 modifier. I recommend the "magic" determination be the time involved with the procedure. Each physician or practice might consider an informal time value to determine when the 22 modifier is used. Sometimes there are few polyps, but the size, location and difficulty in technique of removal drives the modifier use. The most important factor, though, is the detail in the procedure report.
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