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modifier question on 46930 & 45330

  1. #1
    Default modifier question on 46930 & 45330
    Medical Coding Books
    We are an ASC and billing for a 46930-Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) and a 45330-Sigmoidoscopy, flexible; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) . Patient had both procedures on same day/same time. Would a modifier be required on this? I did not see that there was one required based on the CCI edits. Thanks.

  2. #2
    Smile seperate procedure
    Use modifier -59 if the separate procedure is independent of and not immediately related to the other procedures.

    If the separate procedure is obviously NOT related then modifier -59 is not required.


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