Modifier 22 isn't a free pass to additional reimbursement. Payers need detailed evidence of the extra difficulty encountered in comparison to the work that would normally be expected for the procedure performed. They won't hand out extra payment when they see modifier 22 – you have to request it.

Do modifiers affect RVU?

RVUs have become the standard measurement in analysis of reimbursement and payer contracts, physician compensation and productivity, and practice staffing and operating costs. ... These modifiers also impact the RVUs calculated. Often practices forget to adjust RVUs due to modifiers resulting in overstated RVUs.

What is the reimbursement for modifier 22?

UnitedHealthcare's standard for additional reimbursement of Modifier 22 (increased procedural services) and/or Modifier 63 (procedures performed on infants less than 4 kg) is 20% of the Allowable Amount for the unmodified procedure, not to exceed the billed charges.