My Dr performed a Arthroplasty intercarpal or carpometacarpal joints 25447 as well as a 20924 tendon graft from a distance. This are ok to bill together with a 59 according to our coding software.

The question is what this really means. Are they saying that if the graft was removed from the same place as the surgery they can not be billed together(which it was not), or are they saying if the graft was from somewhere else and was used for this surgery (this is how it was used) I cant bill seperately for it.

I can see this both ways. Please tell me your thoughts.