-22 modifier

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"This modifier is not to be used to report procedure(s) complicated by adhesion formation, scarring, and/or alteration of normal landmarks due to late effects of prior surgery, irradiation, infection, very low weight or trauma.
For informational purposes only; no extra allowance is allowed."
 
Is this the extensive time modifier? if so, I use it. Be sure to document in your procedure note the amount of time above "normal" that you spent on the procedure. Also don't expect to be reimbursed, unless you are employed being paid on RVUs which may get you some extra money.
 
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