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From:Rick Roberts <>
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The restrictions for "upcoding", as we all know, are getting more rigid daily.
One tool that can utilized is the modifier -22. This is "Unusual Procedural
services". It's definition is: "When the service(s) provided is greater than
that usually required for the listed procedure, etc., etc". This is probably the
safest solution.

Check the CPT manual for the full definition. wrote:

> An 88305 is all you can code for a melanoma no matter how extensive the
> excision.
> Reference is July 1999 CAP Today "Cracking the code: advice for CPT dilemmas"
> John D. Shannon, MD

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