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Wiki tracheobronchoscopy and laryngoscopy cci issue

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bungalowgirl

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Rock Hill, SC
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I know these two codes 31615 and 31575 are not supposed to be billed together (sequential procedures), but my question is WHY, am looking for some reasoning behind the decision. The procedures are performed on different areas, requiring 2 different scopes, and are performed by entering 2 separate orifices... And under what conditions would you consider a 59 on the laryngoscopy to be justified? Really just a theoretical question and would love some more experienced thoughts since our Drs bill this combo fairly frequently. Thanks in advance!
 
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