MODIFIERS

MODIFIERS: 22 – Increased Procedural Service Question: What are the documentation requirements for reporting modifier 22 (Increased Procedural Services) with procedure codes? Answer:  According to CPT® Assistant May 2020, the documentation must support “the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient’s […]

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EVALUATION AND MANAGEMENT

Code Selection Criteria Question: What criteria will be used to select the appropriate evaluation and management (E/M) office or other outpatient code level starting in 2021?  Answer:  One of the most significant changes for reporting E/M services in 2021 is the use of either time or medical decision making (MDM) as the criteria for total […]

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