Wiki Multiple add on code 64787

Rufus186

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I need to submit a claim to Medicare for the following cpt 64774 excision of neuroma, cutaneous nerve with add on +64787 implantation of nerve end into bone or muscle(list seperately in addition to neuroma excision with 64784 excision of neuroma, major peripheral nerve with add on +64787 as well. How do I submit the multiple add on without it denying as a duplicate, do I need a 59 modifier?

64784
+64787
64774,51
+64787

Any thoughts, thanks in advance!
 
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