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modifier -22 for ASC physician coding

  1. Default modifier -22 for ASC physician coding
    Medical Coding Books
    Can modifier -22 be used with coding services performed by a physician in an ASC setting? My impression is that it is not allowed since it is not approved in the outpatient or the ASC settings, per AMA CPT guidelines. Beckers-ASC's list of modifiers for physician and facility coding in the ASC setting also does not have modifier -22 included. However, I have been informed by a seasoned medical coder that it can be used for an ASC setting. Someone please clarify.

  2. #2
    If you are coding for the facility, no it cannot be used. If your coding for the physician, yes it can be used.
    Last edited by bethh05; 05-17-2011 at 12:29 PM.

  3. #3
    Not for ASC
    Last edited by ASC CODER; 05-18-2011 at 09:10 AM.

  4. Default
    I code/bill for both Physician and ASC and I absolutely do add modifier -22 on the Physican's claim when necessary and do get reimbursed. It's only the ASC claim you cannot add -22 on.

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