Which aspect is not considered when assessing the need for increased procedural services modifier 22?

The consideration of the type of anesthesia used is not relevant when assessing the need for the increased procedural services modifier 22. Modifier 22 is applied to indicate that a procedure required significantly more work than usual due to factors such as the severity of the patient's condition, the technical difficulty of the procedure itself, and any additional time that was necessary to complete the procedure.

When evaluating a case for the application of modifier 22, the focus is primarily on aspects directly related to the complexity and effort involved in the procedure. While the severity of the patient's condition and the technical challenges are crucial in determining the added complexity of the service provided, the type of anesthesia does not inherently impact the amount of work or difficulty related to performing the procedure itself. Therefore, it is not a factor that influences the justification for using modifier 22.