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Wiki Cryotherapy on butt cheek and anal area

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Akulo

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So a patient has viral warts on the left butt cheek and has anal warts. The doctor treated all of them.

Do I bill only 46916 or do I bill 46916-59 for the anal warts AND 17110-51 for the left butt cheek warts?
 
Hi, I don't see anything wrong with your codes however I am not sure that you can use both modifiers together. Modifier -59 should only be used if no other modifier would describe the situation. According to the CPT documentation must support a different session, different procedure or surgery, different site, organ system, separate incision/excision, separate lesion or separate injury not ordinarily encountered on the same day by the same individual. These are so closely related I would append modifier -51 to the lesser procedure (17110 -51).
 
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