The 22 modifiers can be used during surgeries or other procedures when there is increased technical difficulty or because of the severity of the patient’s condition. For example, 22 can be used when there is unusual or excessive hemorrhaging during a procedure. CPT Modifier 25 Significant, ...
Modifier -22 Increased Procedural Services (When the work required to provide a service is substantially greater than typically required. Documentation must support the use of this modifier. This modifier should NOT be added to an E/M code.) ...
Modifier 52 should not be used for therapy services less than 15 minutes. At least eight minutes of a physical therapy timed service must be provided in order to use a therapy procedure code (i.e. 97140 – manual therapy techniques, one or more regions, each 15 minutes). If the therapy ...
• When using 25 on an E/M service on the same day as a procedure, the E/M service must have the key elements (history, examination, and medical decision making) welldocumented. NOTE: However, although CPT does not limit this modifier to use only with a specific type of procedure or...
Hence, either of the procedure should be reported when CPT code 76872Ultrasound, transrectal;or CPT code 76942Ultrasonic guidance for needle placement are performed,based on the documentation in the patient’s chart. A modifier should not be used to unbundle this coding scenario as it has been ...