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modifier -22

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Q: Bone grafts are always coded in conjunction with a surgical procedure What is the appropriate modifier to apply to the bone graft code?
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When modifier -54 is assigned payment for the what portion of the surgical procedure is being requested?

eighty percent


Is modifier 54 a reduction modifier with Aetna Health?

It is a reduction in provider reimbursement due to a global billing period being applied to a surgical procedure.


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CPT Code Modifier 62 -Two Surgeons: When two surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. Each surgeon should report the cosurgery once using the same procedure code. If additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. Note: If a co-surgeon acts as an assistant in the performance of additional procedure(s) during the same surgical session, those services may be reported using separate procedure code(s) with modifier 80 or modifier 82 added, as appropriate.


What type of anesthesia would be most appropriate for a surgical procedure performed on a very small area of the body?

Local anesthesia would be most appropriate for a surgical procedure performed on a very small area of the body, as in dental procedures.


What is the predefined number of days before and after the surgical procedure are referred to as the period?

with the use of what modifier should medical documentation be submitted describe a scenario that would require the use of that modifier


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You should use an appropriate E/M code (inpatient, outpatient, or consultation) as applicable and append modifier 57 for decision of surgery.


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