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Wiki 49566 and 49561 together

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codedog

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Marrero, LA
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PATIENT had a recurrent umbilical incisional herina and left lower quadrant incisional herina both incarcerated . both with mesh
yes 2 separate incisions was done
now coding it
would i use 49566- 553.21
49568
49561 -552.21
49568

other words, is it possible that you can have a recurrent herina and also a inital herina ?
and if so DO YOU THINK i need modifer 59 ?thhanks
 
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