Increased Procedural Services (Modifier 22)

DESCRIPTION: The term “increased procedural services” designates a service provided by a physician or other healthcare professional that is substantially greater than typically required for the procedure or service as defined in the Current Procedure Terminology (CPT®) book. Increased procedural services are reported by appending Modifier 22 to the usual procedure code. Modifier 22 should only be reported with procedures that have a 0, 10, or 90 day global period that required a level of work far more extensive than usually necessary for the listed procedure. To identify those procedures which have a 0, 10, or 90 day global period, please refer to the Medicare Physician FeeSchedule Database (MPFSDB). <a id="