Dr. breckell is scheduled to perform a cyst removal on haley's right hand. after he begins the procedure, he notices that the cyst is much larger than anticipated and is involved with nerves and ligaments in the right thumb. complete cyst removal takes 30 minutes longer than expected. which modifier would you use to describe this special circumstance?

a. 22: increased procedural services
b. 26: professional component
c. tc: technical component
d. 50: bilateral procedure
e. 51: multiple procedures