Vicky Posted Wed 24th of April, 2013 20:40:02 PM
Can we bill 77290 with modifier 22 when we use 4D simulation to account for respirtory movement when the patient breaths which takes longer planning?
SuperCoder Answered Thu 25th of April, 2013 09:40:32 AM
A lot of payers have rules that modifier 22 use is limited to codes with a global period, and 77290 doesn’t have a global period. For instance see www.wpsmedicare.com/part_b/resources/modifiers/modifier-22.shtml and www.noridianmedicare.com/provider/updates/docs/Modifier_22_form_instructions.pdf%3f
For relatively new technology, the best bet is to check with the payer whether they consider an existing code appropriate or prefer the use of an unlisted procedure code.