25606 & 25600 and 25651 & 20690 bundling help for sx on distal radius & ulnar styloid fx's

cliff.chen89

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Diagnosis:
1. Left grade 1 open comminuted intra-articular distal radius fracture (s52.572b)
2. Left open ulnar styloid fracture (s52.612b)
3. Dislocation of distal radioulnar joint (s63.015a)

Procedures Performed:
1. Irrigation and excisional debridement of left grade 1 open comminuted intra-articular distal radius fracture (11012-LT)
2. Closed reduction percutaneous pin fixation of distal radius fracture (25606-LT, 25600-LT)
3. Closed reduction percutaneous pin fixation of distal radioulnar joint (25651-LT, 25600-LT from above)
4. Application of uniplanar spanning external fixator to left wrist (20690)
5. Fluoroscopy supervision and interpretation (76000-26, not coded due to bundling)

I am looking at CPT codes 11012, 20690, 25600, 25606 and 25651 for this surgery. However, NCCI bundles 25606 & 25600 as well as 25651 & 20690.

Are these correct? Also, is there any way we may add modifiers such as 51 or 59 to unbundle?
 
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