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Wiki 31535 with 2 biopsies coded once or twice?

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wynonna

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One endoscope was used for epiglottis and epiglottis fold, but 2 biopsies were taken from each of these 2 sections.
Code 31535 once?
Or, with 2 biopsies, code 31535 with 31535 modifier 51?
Thank you
 
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