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10.1080/088800199277489 3 ArcanP.BozkurtO.CavusogluD.GencpnarP.HaspolatS.DumanO.et al (2020)

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Modifier 22 Increased Procedural Services Modifier 22 may be reported when the procedural work exceeds the typical effort required for 20610, such as when significant joint edema, severe synovitis, or complex fluid aspiration requires prolonged or technically difficult manipulation