Modifier 22, Increased Procedural Service, Is Used When

Modifier 22, Increased procedural service, is used when:

A) A patient presents to the office with poison ivy and while there has a wart on the plantar surface of the foot removed.
B) A morbidly obese patient requires additional time, resources, and anterior instruments to perform surgery on the posterior spine
C) A bilateral service is performed unilaterally (i.e. eye exam) on a patient with absent left eye
D) A surgeon performs a neuroplasty procedure and administers a nerve block