If a physician encounters more complexities that demand substantial additional time and effort during a surgical operation than is usually required, how should this be conveyed in the code submitted for billing purposes?
Incorporate the modifier designed for prolonged services beyond the typical visit time, which has since been deprecated.
Attach the modifier that specifically indicates an increase in the work required due to the procedure's complexity and extended time beyond the standard.
Use the modifier denoting an E&M service during the postoperative period that is not associated with the surgery performed.
Apply the modifier meant for a separate, significant E&M service performed on the same day by the same provider, which is not related to surgical procedures.