Wiki modifier

[rcclary]

One more modifier question for the day. I have a dx of Malignant appearing colonic mass at Sigmoid (153.3) and Rectal polyp (569.0). The procedures are Colonoscopy w/ removal of lesions by snare (45385) and Colonoscopy w/ biopsy (45380). Do I need a modifier?

 

[drpremraja]

As per the CCI engine both codes cannot be billed together without an allowable modifier. Hence you need to attach 59 modifier to the second procedure (45380) and then bill it.