Modifiers

Question 1

Modifier 22

Answer 1

• used when service provided is greater than usual procedure

NOTE: this modifier should not be added to an evaluation and management code

Question 2

Modifier 23

Answer 2

Unusual anesthesia – a procedure that routinely is not completed any type of anesthesia or local anesthesia requires to use of general anesthesia.

Question 3

Modifier 24

Answer 3

• Unrelated evaluation and management service during a postoperative period

Ex. Physician reported code 99213–242 indicate that she was seen for condition unrelated to the surgery. The diagnosis code for this visit will be chest pain, which is a condition that is not related to the colostomy. Patient came back five days later after colostomy and had chest pain.