A physician encounters significant, unexpected complexities during a surgical procedure that require substantially more time and effort than typically required. Which CPT modifier should be appended to the procedure code to indicate this increased service?
-24
-25
-22
-51
Modifier -22 is the correct choice because it is defined as 'Increased Procedural Services' and is used when the work performed is substantially greater than what is normally required for a given procedure. Documentation must support the reason for the additional work. Modifier -25 is used for a significant, separately identifiable E/M service on the same day as a procedure. Modifier -24 is for an unrelated E/M service during a postoperative period. Modifier -51 is used to indicate that multiple procedures were performed during the same session.
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