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CCI edit 32608 and 32609

Date: Nov 4, 2022

Question:

When is it appropriate to append a -59 or -X modifier to 32609 when performed in conjunction with 32608? For example: "Patient is status post a lung transplant. He has nodules on his skin, and there is a concern for a post-transplant lymphoproliferative disorder. Endobronchial attempts failed, referred for surgical resections for definitive diagnosis. Two biopsies of the right lower lobe of the lung were taken via thoracoscopy and sent to path. There was a dark area on the pleural surface that appeared to be old blood, and this was biopsied."

Are the lung and pleura considered different structures, and are we able to append a -59/-X modifier? Or, since both biopsies are done on the right lower lobe, are they considered bundled?

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