My doctor wants to bill 58662 & 44180. I informed him that this is not allowed as 44180 is considered part of 58662 but he is not happy with this and wants further research done. I have tried billing 44180 in the past with a 22 modifier (for another doctor), appealing with documentation and have never won an appeal in this situation. My question is: does anyone know what exactly has to be documented in order to get these paid? Time spent? He does have documented 'extensive lysis of adhesions' but I don't think that's enough. Any help/advice would be much appreciated!