Can I bill 45300 with 46221?

SydGerman

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Delphos, OH
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In the past we have billing the Banding & Procto with modifier -XU and got paid for both CPT lines. Recently, we have been getting denied for bundling and only getting paid for the Hemorrhoid banding. Wondering if there is a different way to approach this as our provider almost always does the Proctoscopy when doing the banding to ensure correct placement. Any comments would be helpful. Thanks in advance.
 
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