Wiki 54840 exc. of spermatocele w/ 55040 exc hydrocele

[bill2doc]

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

 

[sllindsey]

you can not use a 25 on a procedure code... that is an E/M modifier only

 

[seslinger]

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