Procedure codes with a co-surgeon indicator of “1” on the MPFSDB require the submission of supporting documentation for review to establish the medical necessity of two surgeons for the procedure. Procedure codes with a co-surgeon indicator of “2” on the MPFSDB are considered eligible for ...
We have concluded that orthopedic trauma surgeons do not appropriately justify the use of the 22-modifier within their operative report. Further education on modifiers and the use of the operative report as billing documentation is required to ensure surgeons are adequately reimbursed for difficult ...