October 4, 2018
My neurosurgeon just came back from surgery – he had a really bad day. He wants me to use modifier 22 on a case but to list it twice because the procedure was twice as difficult. I wasn’t sure about that.
Oh this is a new one! Modifier 22 would be appended only once (e.g., 63047-22) not twice (e.g., 63047-22-22) but you would double your fee to represent the added difficulty. This is, of course, assuming the rationale for using modifier 22 is documented and supported in the operative note.
*This response is based on the best information available as of 10/04/18.