Spleenectomies with Nephrectomies?

nrichard

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Pensacola, Fl
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My patient had a left sided nephrectomy 50230, and also had a splenectomy 38100. I'm coming up with a CCI edit, stating the two codes can be reported together with a modifier. From my research online, I'm finding that the incidence of spleen laceration is high with a left sided nephrectomy. I'm assuming had this been a right-sided nephrectomy then I could report the 38100-59, is this correct, and that in my case since the nephrectomy was on the left, I can't bill for the splenectomy?
 
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