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54840 exc. of spermatocele w/ 55040 exc hydrocele

  1. Default 54840 exc. of spermatocele w/ 55040 exc hydrocele
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    I tried to seperate these codes by way of -25 modifier on 55040 but only 54840 got paid... any help on which is the correct modifier to use.

    Thank you

  2. #2
    you can not use a 25 on a procedure code... that is an E/M modifier only
    Stacey Lindsey-Smathers, CPC, RMC

  3. Default
    I was wondering if these two procedures are considered bundled. I looked on Medicare bundling & I can unbundle with the -59 but not sure if that is right?

    Any thoughts.
    Sheila, CPC

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