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Pulmonology Coding Alert

You Be the Coder:

Appeal Modifier 22 Denials When Necessary

Question: I have a question about your modifier 22 article from last month ("Modifier 22 Isn't Just for Surgeons"). We submitted a claim with modifier 22 because the doctor had to spend an extra 50 minutes on a procedure due to an unexpected anatomical abnormality. The payer still only paid us the standard fee for the service. What are our options? [...]