Please note this question was answered in 2021. The coding advice may or may not be outdated.
Wedge Resection and lysis of adhesions
Date: Dec 3, 2021
Question:
Provider is doing a right robotic-assisted upper lobe wedge biopsy resection with mediastinal lymph node dissection, and very often also has to do extensive lysis of pleural adhesions. He wants to bill the additional 32124, but is not doing a thoracotomy. We are advising that he can't bill the additional 32124, but may in some cases if documented well we may be able to add modifier -22 to the primary wedge resection procedure. Would you agree?
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