Wiki Fistulectomy and Sphincteroplasty

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Hi everyone,

Please help! I have an op report coded with 46750 and 46280 and i'm getting a denial for not allowed for separate procedures. I know there are no NCCI edits for these 2 codes but I have not been able to find any proof to show that these two things can be billed together. Does anyone has any information regarding this? I do not believe they have a separate procedure distinction.
 
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