Healthcare
2008 Modifier Changes

Modifier Changes Effective 1/1/08

Modifier 22
Modifier 59 (Distinct Procedural Service)
Modifier 78 (Return to OR)
Modifier 92 – New Modifier

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    Coding and Documentation 2008 Update

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    Presented by
    Amper’s Healthcare Services Group


    2008 Modifier Changes

    Modifier Changes Effective 1/1/08
    • Modifier 22
      • Will state for "increased procedural services"
        • Replacing "unusual procedural services"
        • When work required is substantially greater than usually required
        • Also states documentation must show that additional work was done & explain why the extra work was needed
    • Modifier 59 (Distinct Procedural Service)
      • Description changed to remove any reference to "physician," replacing it with individual
        • Non-physician providers (NPP’s)
      • Also states that documentation must support the use of this modifier
    • Modifier 78 (Return to OR)
      • More detailed description
        • "Unplanned return to the operating/procedure room by the same physician following initial procedure for a related procedure during the postoperative period"
    • Modifier 92 – New Modifier
      • Alternative Laboratory Platform Testing
        • Should be used when a lab service (such as HIV test codes 86701-86703) is done with a kit containing a single use, disposable chamber

    The material contained in this presentation is for general information and should not be acted upon without prior professional consultation.


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