Hi there, I work for an orth clinic and we do that stuff all the time! The most expensive code is prime and the following code/codes are coded with a -51 modifier. Unless procedures are performed in different areas like the finger and the forearm you usually never have more than one "primary procedure" to be billed. In our case the patient usually presents with a wound and we would perform a debridement 11043 and then a closure 12001-51.In your case I would follow the same rules as long as the two procedures are not bunddled...Hope this helps.
Karen Hayen, CPC
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