Wiki Excision olecranon bursitis with skin removal

[fltbaroque]

Need help please!
Procedure performed:
Excision of large olecranon bursitis with complex skin closure and excision of elliptical shaped skin, approximately 10 x 4 centimeters attached to the bursa.

Procedure detail states that "approximately 10 x 4 cm of skin elliptical shape was excised with the olecranon bursa using a #15 scalpel as well as unipolar electrocautery".

Should I add a 22 modifier to 24105, or would the skin excision be included? This seems to be over and above the normal bursectomy.

Thanks in advance,
T. Chandler, CPC

 

[Laxwido]

I would think a 22 would be appropriate here, that is not the routine closure for this procedure. I'd be interested to hear other thoughts.