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Wiki modifier

rcclary

Networker
Messages
66
Location
Spartanburg, SC
Best answers
0
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?
 
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.
 
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