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Separate Procedure?

  1. #1
    Default Separate Procedure?
    Medical Coding Books
    My provider placed a seton (46020) and excised a hemorrhoidal tag (46220). Code 46220 is a separate procedure code. They were two separate issues but since both procedures are located in the anus, does that mean I can't use the -59 modifier? Or, since they were in 2 different sections of the anus, could this be considered 2 separate anatomic sites? Any insights would be much appreciated!
    Sue Vermette, CPC, CPMA

  2. #2
    Kansas City, MO
    46220 is CCI to 46020...with a modifier indicator of "0" (not allowed)

    Sooo...that's a no unfortunately.
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC,CCC, AAPC Fellow
    PMCC Licensed Instructor
    2018 Chapter President, Kansas City, MO

  3. #3
    Default Thanks
    Thanks Linda,
    I should have double checked that first. I saw somebody else code it with a -59 so I got hung up on the anatomy question. TGIF!
    Sue Vermette, CPC, CPMA

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