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Wiki paracervical block with procedure

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Karen A.

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When billing a paracervical block, CPT 64435, along with an inoffice surgery ie: 58563-hysteroscopy with endometrial ablation, what is the proper modifier to add to the paracervical block? -51 or -59?
 
I would go for -59 to show it is not a component of the major procedure (so that it is not bundled one) and that it is a separate and distinct procedure-a therapeutic nerve block performed by the same physician. Any more suggestion please?
 
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