Is he using the same code twice with a 59? If so then I do disagree with this. If you are the coder then do you supply the codes for the claim? If so then why does the front desk change your codes? They are not coders. I would post the way I know is correct. The AAPC Coding Edge had an article a few years back that stated that at some point you must ask yourself how much your coding ethics are worth to you. If you have an employer insist you do something you know is incorrect and you risk losing your job to do it correct then then your choices are to do the right thing and face the the dismissal or do as you are requested and face possible fines and/or penalties.
There is one other solution and that is the use of the 22 modifier if you feel documentation can support it.
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