Modifier -22 is used in conjunction with a surgery code, that explains that it was complex or more d
Posted By: DeeW on 2006-05-24
In Reply to: Modifier 22? - new one for me
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.
Complete Discussion Below:  marks the location of current message within thread
- Modifier 22? - new one for me
- Modifier -22 is used in conjunction with a surgery code, that explains that it was complex or more d - DeeW
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
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
Or even just their "color" for when a code is called. Sometimes you hear code red, code blue,
Subject: Or even just their "color" for when a code is called. Sometimes you hear code red, code blue, or
s
Very complex GYN surgery.....s/l "lena loop?" Never stop learning! (been 26 years off and on)
Subject: Very complex GYN surgery.....s/l "lena loop?" Never stop learning! (been 26 years off and on) THANK
THANK YOU, I have used every reference I can think of, this guy is a regular, very, very picky, and usually very clear! thanks a bunch!
Maybe giving you the ICD code or diagnostic code for medical records coding?
Subject: Maybe giving you the ICD code or diagnostic code for medical records coding?
That sounds like it should be CODE status: FULL CODE. nm
Subject: That sounds like it should be CODE status: FULL CODE. nm
I think you're both wrong.
Word used in conjunction with eating disorder...sm
Subject: Word used in conjunction with eating disorder...sm
I'm sure this is probably really easy, but...
"Client admits to bulimia when she was 14-15 years old, without any problems with S/L: A-FISH-EE-O at this time."
TIA!
Modifier 22?
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 
There is a white blood cell labeling done in conjunction with a bone scan. That's probably what
Subject: There is a white blood cell labeling done in conjunction with a bone scan. That's probably what
the dictator means.
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!
Well that explains a lot
Subject: Well that explains a lot
Yes, she has been talking about applying for another job. It would make sense to follow the bread crumbs. First entire reports are posted, then what appears to be test questions are posted. I can't help but wonder if those entire reports where from the company she may be applying to. It did raise my curiosity level about how she got a job transcribing reports of that level of difficulty; however, if you add entire report plus test questions with her statements of applying for another job, she could very well be getting the people on this board to help her land a new job.
Of course getting it and keeping it are two different things.
That explains it. Thank you so much !!..nm
Subject: That explains it. Thank you so much !!..nm
x
This explains what it is:
Subject: This explains what it is:
"...The results showed that the autism group and both their receptive language and nonverbal IQ-matched controls imitated familiar actions with realistic objects (evidence for functional play) and placeholder objects (evidence for symbolic play) after delays ranging from 24 hours to 3 weeks. Experiment 2 tested familiar three-step event sequences in which a placeholder object was substituted for the second step in half the events. The results showed that the autism group remembered as many of the actions with the placeholder objects as the language-matched controls and as many correctly ordered sequences, a finding that supports a symbolic-delay (rather then deficit) hypothesis."
could it be dorsovenous complex??? also says deep dorsovenous complex?? about 4 blanks here
Subject: could it be dorsovenous complex??? also says deep dorsovenous complex?? about 4 blanks here
(CABG) procedures using the ESTECH Access and Stabilization Systems in conjunction with a surgical r
Subject: (CABG) procedures using the ESTECH Access and Stabilization Systems in conjunction with a surgical robot
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.
That explains why I couldn't find it in viruses thank you so much!
Subject: That explains why I couldn't find it in viruses thank you so much!
x
Now that explains a lot, did psych for years, I think you have to go verbatim, at least according to
Subject: Now that explains a lot, did psych for years, I think you have to go verbatim, at least according to
my psychiatrists, made me cringe and clean my keyboard out with soap!
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!
Oops, explains "as" kilogram calorie
Subject: Oops, explains "as" kilogram calorie
D code or V code?
Subject: D code or V code?
In the assessment, doc dictates "D or V code" then the numbers "61.20 Parent/child relational problems"
TIA!
per fee code? nm
Subject: per fee code? nm
No code.
Subject: No code.
Code
Subject: Code
I had never heard of this myself so I looked it up on the Internet, and it is really interesting how they do all that work ahead of time and get things rolling, and then are ready for the patient coming in.
My thought would be Code STEMI as long as it was not in the diagnosis, and if that is the way the doctor dictated it. If he dictated that whole thing out, then it would have to be expanded, but Code STEMI sounds good to me.
Code Black
Subject: Code Black
What does "code black" mean?
chemical? code
Subject: chemical? code
x
I just tried googling the code itself
Subject: I just tried googling the code itself
I'm not sure this will help but here's the link(s):
Coding for Depression Without Getting Depressed
Code 300.4, "Neurotic depression," also referred to as "reactional depression ... However, if you provided medical evaluation and management in addition to ...
doctor.medscape.com/viewarticle/472592 |
code blue
Subject: code blue
Used to be capitalized, but no longer according to Stedman's. Just "code blue".
CPT code 11012
Subject: CPT code 11012
Is this how it should be typed? In all my years, I have never had this before. I have had ICD code but not this one. Thanks
i would just do cpt code 14041
Subject: i would just do cpt code 14041
CPT code modifers
Subject: CPT code modifers
I am not sure how to transcribe CPT codes with modifiers. Doctor dictates "CPT code 15734 with a modifier of 51." Do I transcribe it as above, or is there a standard format for adding modifiers?
Thank you in advance.
s/l profee code?
Subject: s/l profee code?
Anybody know the correct way to type this? It's a billing code dictated in the progress notes, which is done sometimes on one of my accounts. I've searched the web and found it spelled every way imaginable, the billers and coders board here looks abandoned, and search of boards turned up nothing.
I'm hoping someone out there in MT Land has the answer. Thanks!
Could he be saying the diagnosis code? NM
Subject: Could he be saying the diagnosis code? NM
Code status
Subject: Code status
Anyone know if code status is addressed in the AAMT BOS? I cannot find it but am not certain what to look under either. Wondering if this should always be set apart with all caps or separate line?
Code STEMI
Subject: Code STEMI
I got dinged on this on a audit, just wanted to get it right.. would it be Code-STEMI or Code ST-elevation myocardial infarction (STEMI) in an HPI?
L
I think A01 is a diagnosis code sm
Subject: I think A01 is a diagnosis code sm
Check internet seach: RMG diagnosis codes (Rehab Management Group.
Lab, s/l "d-code" or "d-cote," done for see msg.
Subject: Lab, s/l "d-code" or "d-cote," done for see msg.
done periodically for a patient who is on chronic pain medications??? Anyone know?
Thanks!
ICD code for this is 780.56 - see message
Subject: ICD code for this is 780.56 - see message
Go to www.findacode.com and type the code in and expand the ICD 9 section. You can also type the names of diseases in the search.
Code call?
Subject: Code call?
He was admitted to the ICU with acute hypoxia after an s/l MSENT was called . . .
I think it is probably scintillator complex.
Subject: I think it is probably scintillator complex.
A scintillator is a substance that absorbs high energy (ionizing) electromagnetic or charged particle radiation.
hippocampal complex? (nm)
Subject: hippocampal complex? (nm)
s/l ocumeatal complex sm
Subject: s/l ocumeatal complex sm
CT scan shows some narrowing of her s/l ocumeatal complex. tytyty
ostiomeatal complex
Subject: ostiomeatal complex
dd
Shon's?? complex
Subject: Shon's?? complex
A 2-month-old with critical coarctation of the aorta and VSD status post surgical repair. We are following her closely as she may be a variant of Shon's?? complex with mitral stenosis, aortic stenosis and coarctation. Never heard of this. Doc is spelling it, but I cannot verify. Thanks.
Ostiomeatal complex (nm)
Subject: Ostiomeatal complex (nm)
dd
Actually it's ostiomeatal complex. Always.
Subject: Actually it's ostiomeatal complex. Always.
http://www.onelook.com/?w=ostiomeatal+complex&ls=a
Vitamin D Complex?
Subject: Vitamin D Complex?
Vitamin D complex is this capitalized?
yes...vitamin D complex nm
Subject: yes...vitamin D complex nm
xxx
Ghon complex
Subject: Ghon complex
S/L code gray protocol
Subject: S/L code gray protocol
Doc says: He was given TPA for an acute stroke under the ?CODE GRAY? protocol.
TIA again.
info on Code Gray. sm
Subject: info on Code Gray. sm
http://www.floridahospitalmedicalnews.com/news-Neurology-Neurosurgery-id31.html
|
