Wiki IUD and Biopsy of Cervix

[natashalage]

Hello Coding Community!
My pt came for the removal of IUD and had a Biopsy of cervix done at the same time. Could you please tell me if I can bill for Removal of IUD and Biopsy of Cervix together (with 57500 -59)?
Per NCCI, "Code 58301(column 1) has a CCI conflict with code 57500(column 2). A modifier is allowed to override this relationship." I am trying to understand when I can break the bundling. If a modifier is allowed, why cannot I use -59?
Thank you very much in advance for your rational.

 

[csperoni]

Modifier -59 is likely appropriate here. Basically, the documentation needs to support that these were independent services. A separate diagnosis is typically helpful.
I would also advise to review -XU to ensure that is not more appropriate.
https://www.novitas-solutions.com/webcenter/portal/MedicareJH/pagebyid?contentId=00087124