Wiki carpal bossing with ganglion..?

[ASC CODER]

carpal bossing with ganglion excision

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An incision was made transversely over the mass. The incision was deepened using tenotomy scissors to the level of the mass. Tenotomy scissors were used to circumferentially dissect down around the mass. The mass was excised along with a small portion of joint capsule. There was a bony prominence in the region as well, consistent with a carpal boss. This was removed using a rongeur. After removal, bipolar electrocautery was used to cauterize the base to minimize recurrence


25130 with 726.91
25111 with 727.42

Can you bill these two together?

 

[Hellman]

You should be able to bill these together although I would use a 51 modifier on 25111. The CCI edits do not show that they cannot be billed together.

 

[awest]

I thought we were not supposed to use modifier 51 in an ASC...

 

[ASC CODER]

Your Not

 

[Hellman]

Sorry, was thinking in my world, ASC is different with the modifiers....

 

[awest]

Okay. Well I would bill those together, they wouln't need a modifier per CCI.