Hand Coding Assistance

Good morning, is anyone an experienced hand coder that could assist with helping me understand the following:

Extensor compartment complete synovectomy performed CPT code 25118, wrist capsule then opened with radiocarpal joint inspected see as CPT code 25101.  Per NCCI 25118 is inclusive to 25101.  Is it appropriate to assign modifier 59 to 25118 due to the separate incision of the wrist capsule to get into the joint.  I'm having a hard time understanding the PTP edit.  Any help, direction is appreciated.  Thank you


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