Modifier 22 is used to indicate what in healthcare coding?

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Modifier 22 is utilized in healthcare coding to indicate that an unusual procedural service has been performed. This modifier is important because it alerts payers that the procedure carried out was more complex than standard procedures and required significantly more effort, time, or skill than what is typically expected. As a result, it often justifies additional reimbursement for the medical professional performing the service.

Using modifier 22 helps ensure that the healthcare provider is compensated fairly for the complexities involved in the case, highlighting cases where a simple procedure does not accurately reflect the level of care and resources needed. This modifier is particularly relevant for surgeries or complex medical interventions that present exceptional difficulties or require additional resources compared to the norm.

The other options, such as multiple services or cooperative healthcare services, do not correctly capture the specific purpose of modifier 22. Each of these alternatives refers to other situations in coding that are addressed by different modifiers, which highlights the necessity of applying the correct modifier to achieve proper reimbursement and maintain accurate medical records.

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