Modifier 22

tamaraowingstamaraowings
in REIMBURSEMENT & PAYMENT METHODOLOGIES

I was wondering if facilities typically increase the charge for the procedure when they append a modifier 22.

Comments

  • trositrosi
    For hospital claims, I don't believe the use of 22 would be very common for us. If an OR procedure took longer the time-based OR charge would cover it.  If the procedure took longer in another procedural area, say Cath lab which is "coded" from the charge master, I am not certain how anyone would know to add the -22 to the charge/coding for the claim.  Can you give an example of when you might use it on the hospital claim or are you referring to the provider claim?
  • tamaraowingstamaraowings
    I should have clarified.  I am speaking in regards to the professional fee. 
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