I am billing for a Lactation Consulting Group. They perform Frenectomy on infants often. We always billed 40819 and 41115, I started having issues when we tried billing for more than one tongue release. I would normally bill 40819 with only 1 unit, but if there are two releases I would use 2 units with a 50 modifer, it is being denied, and if I bill for three releases and use 3 units and a modifer 22 I am also getting denied. Can anyone provide me with information as to how to get paid when there is more then one tongue release performed. Thank you