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Wiki cpt code 64450

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to bill for the nerve block for circumsion cpt 64450 will we need to append modifier 47?
 
to bill for the nerve block for circumsion cpt 64450 will we need to append modifier 47?

:confused: Modifier 47 definition is: Anesthesia by surgeon If my physician is a Pediatrician and does not specialize as a surgeon should we even attempt to use the 47 modifier or should we still use the modifier 59?
 
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