AAPC - Back to school
Results 1 to 4 of 4

Thread: modifier -22 for ASC physician coding

  1. #1

    Default modifier -22 for ASC physician coding

    AAPC: Back to School
    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. #4


    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.

Similar Threads

  1. ASC/Physician reimbursement issues
    By lisaevans in forum Billing/Reimbursement
    Replies: 1
    Last Post: 07-24-2013, 05:20 PM
  2. Question about Physician owned ASC
    By AimeeA10 in forum Outpatient Facilities
    Replies: 5
    Last Post: 04-23-2013, 08:41 AM
  3. physician doing procedure at an asc
    By trose45116 in forum Outpatient Facilities
    Replies: 1
    Last Post: 10-12-2011, 09:04 AM
  4. HELP! Synera Patch ASC vs Physician
    By jjayne in forum Billing/Reimbursement
    Replies: 0
    Last Post: 09-20-2011, 03:26 PM
  5. ASC vs Physician coding
    By ncgirl in forum Outpatient Facilities
    Replies: 6
    Last Post: 07-15-2009, 05:49 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.