Appending modifier 59 to code 33233 is unnecesary and inappropriate. Codes 33233 and 33213 are neither mutually exclusive nor bundled - they are payed separately. No modifier is necessary.
In general, modifier 59 helps decide if you will be paid for a specific code or not. It doesn't impact the amount you are paid. CMS assigns all surgical codes a Multiple Surgery Indicator [refer to the Medicare Fee Schedule]. Codes with indicators of 1, 2 and 3 will have payment reduced when billed together. The reported surgery codes are rank ordered by the fee schedule amount. The highest ranked code is paid at 100%. Each successive ranked code is paid at 50%. [Modifier 59 has no impact].
In layman's terms - that's the way it is. Don't get cute with your billing trying to avoid multiple surgery reductions.
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