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Wiki Modifier 33

KoBee

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When screening converts to diagnostic/therapeutic and different techniques were done on multiple polyps in different locations of colon. Does the modifier 33 go on both CPT?

Example:

polyp in descending colon removed by cold snare = 45385
polyp in sigmoid colon removed by excisional biopsy with cold forceps = 45380

Coding:
45385 - 33
45380 - 59

or

45385 - 33
45380 - 33,59 or 59,33
 
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