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January 25, 2018

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Medical Coding News Archives

New CPT® Changes Include Modifier Revisions/New Modifier

October 30, 2007:
Changes to the narrative of CPT® modifiers 22, 25, 32, 51, 58, 59, 76 and 78 clarify when it is appropriate to use the modifiers but do not affect code assignment. There is also one new modifier.

For example, modifier 22 was previously titled “Unusual procedural service.” For 2008 the revised narrative will be “Increased procedural services,” identifying that the modifier is appropriate to use for any type of procedure except evaluation and management services when the time and effort involved are increased for some reason. The revision also clarifies what the reasons may be.

22Increased procedural services: When the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. Documentation must support the substantial additional work and the reason for the additional work (i.e., increased intensity, time, technical difficulty of the procedure, severity of the patient’s condition, physical and mental effort required). Note: This modifier should not be appended to an E/M service.

A new modifier has been added for laboratory testing performed using a kit or other transportable instrument. Modifier 92 Alternative laboratory platform testing can be appended in these circumstances.

92Alternative laboratory platform testing: When a laboratory testing is being performed using a kit or transportable instrument that wholly or in part consists of a single use, disposable analytical chamber, the service may be identified by adding modifier 92 to the usual laboratory procedure code (HIV testing 86701–86703). The test does not require permanent dedicated space, hence by its design it may be hand carried or transported to the vicinity of the patient for immediate testing at that site, although location of the testing is not in itself determinative of the use of this modifier.

Deborah C. Hall
Clinical/Technical Editor

CPT is a registered trademark of the American Medical Association.


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