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February 27, 2026JAMA Surgery0 citations

Beyond Modifier 22—A Path to Recognizing Surgical Complexity

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CCChristopher P. ChildersUniversity of Washington BTBrett M. TracyNYU Langone Health CSChristopher K. SenkowskiBaptist Health South Florida

Key Points

To explore alternatives to modifier 22 for recognizing surgical complexity and surgeon effort.
Discussion of the limitations of modifier 22
Exploration of potential coding alternatives
Analysis of reimbursement impact on surgical procedures
Identified limitations of current reimbursement practices
Outlined possible new pathways for coder recognition of effort
Highlighted need for improved measures of surgical complexity

Abstract

This Viewpoint discusses modifier 22, a coding tool created to increase reimbursement for surgical procedures requiring more effort, and alternative pathways for quantifying surgeon work and recognizing surgical complexity.

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Cite This Study

Childers et al. (Wed,) studied this question.

synapsesocial.com/papers/69a1355fed1d949a99abf312 https://doi.org/https://doi.org/10.1001/jamasurg.2025.6831

Beyond Modifier 22—A Path to Recognizing Surgical Complexity | Synapse