Inguinal Hernia repair and spermatic cord lipoma

Would it be appropriate to report code 55520, Excision of lesion of spermatic cord (separate procedure), in addition to an inguinal hernia repair code (eg, 49505)?

I am receiving mixed opinions.

re: Inguinal Hernia repair and spermatic cord lipoma

this is a stretch, but wondering if you ever received any answers?

re: Inguinal Hernia repair and spermatic cord lipoma

Here is what CPT® assistant says from September 2000 page 10

Male Genital System, Surgery, 55520, 49505 (Q&A)

Question

Would it be appropriate to report code 55520, Excision of lesion of spermatic cord (separate procedure), in addition to an inguinal hernia repair code (eg, 49505)?

AMA Comment

Code 55520, Excision of lesion of spermatic cord (separate procedure), is designated as a "separate procedure." Codes with the "separate procedure" designation normally would not be additionally reported when the procedure or service is performed as an integral component of another procedure or service. However, when codes designated as "separate procedures" are performed independently, unrelated or distinct from other procedure(s)/service(s) provided, then it would be appropriate to separately report the separate procedure. Modifier '-59,' Distinct Procedural Service, would be appended to code 55520 to indicate that the excision of the spermatic cord lesion is a separate, distinct procedure from the inguinal hernia repair performed at the same surgical session.