Wiki CPT 32561 with 32557? Included?

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When billing for tPA installation, is the insertion of the chest tube (whether open or closed) included? From what I read, it looks like you would bill both. Is this correct? Would it be appropriate to use modifier 59 for the 32561 or 32562 when there was also a chest tube (32551 or 32556-32557) placed?
 
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