Modifier 22?
Posted By: new one for me on 2006-05-23
In Reply to:
Subject: Modifier 22?
I am typing an OP note for a doctor that I type for often, and he just said "Modifier 22" I did some looking on Google and saw some entries that have to do with insurance. Can anyone tell me more on this, and how to type this in? Here is how I have it right now
Modifier 22: This patient is quite obese with prior posterior lumbar surgery and extensive scar.
Sorry if this seems like a silly question, I have not heard this thank you 
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compound modifier.....sm
Subject: compound modifier.....sm
Not all words that are placed in front of a noun are compound adjectives or compound modifier and need a hyphen.
This would be too easy!
You hyphenate when it is a compound modifier sm
Subject: You hyphenate when it is a compound modifier sm
I know that MT50 says when it is an adjective and she is right, but I think it is better to give you the compound modifier rule instead.
You hyphenate before the noun in the sentence, but not after.
So...I used an 18-gauge needle.
But no hyphen after the noun...The needle I used was 18 gauge.
Well-preserved left ventricular function.
Left ventricular function was well preserved.
Well, gauge, appearing and there are others that you will frequently see as part of a compound modifiers, so that is a clue too for whether you are seeing one or not.
To be honest, hyphens do not actually change the meaning of the sentence, or at least very rarely do they change the meaning. It is just that right is right and we have to be right. Knowing how to use them properly makes you look good.
When a multiple-word modifier follows the noun, sm
Subject: When a multiple-word modifier follows the noun, sm
it is not hyphenated. When it precedes the noun, hyphenate.
Modifier -22 is used in conjunction with a surgery code, that explains that it was complex or more d
Subject: Modifier -22 is used in conjunction with a surgery code, that explains that it was complex or more difficult.
I am a MT and a medical biller. Say for instance we use a regular surgery code 29880 (arthroscopy of the knee) and we might add a -22 if this procedure was more difficult than usual. We increase our fees for the surgery due to the difficulty, thus the -22 indicates why we upped our fees. Hope this helps and was not too confusing.
Also when used as a compound modifier describing a noun or pronoun, it is follow-up - sm
Subject: Also when used as a compound modifier describing a noun or pronoun, it is follow-up - sm
For example, follow-up MRI or follow-up examination. I hope this helps you!
Very true, the adverb/modifier explains if there is more than one, for example, decubitus ulcer, etc
Subject: Very true, the adverb/modifier explains if there is more than one, for example, decubitus ulcer, etc
nm
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