Wiki Billing with modifier 25 AND 57?

tbensonite

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Glendale, Arizona
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I looked and looked and still can't find an answer-

Our doctor saw a patient in the hospital due to patient having cellulitis, leg swelling and a history of gouty arthritis. He did an aspiration on the first day and then the next day he did an arthroscopic irrigation of the knee and ankle. My question is..can we bill/get paid for the knee aspiration the day before the scope irrigation procedure(90-day global period)? Or is the aspiration bundled with the major surgery? If so, would I append modifiers 25 AND 57 to the E/M code or is that not allowed? Also, any suggestions on the CPT code I would use for the arthroscopic irrigation of the ankle?
Thank you.
 
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