SuperCoder on "EGD with biopsy to disrupt Schatzkis ring"
Thanks for your question. In this case it would only be appropriate to bill 43249; Esophagogastroduodenoscopy, flexible, transoral; with transendosco
View ArticleSuperCoder on "Incomplete EGD"
Thanks for your question. Reporting instructions for modifier 53; discontinued procedure has been clarified to ensure proper modifier usage. Modifier
View ArticleUser id : 83704 on "How to code when the intended procedure changed based on...
What is the correct way to code if an EGD with PEG placement was the intended procedure, but PEG placement could not be carried out due to physical fi
View ArticleUser id : 27684 on "GI - Preventative exam"
I received another Medicare denial when refiling claim with CPT 99397 and Diagnosis code V70.0 on the advice of Supercoder. Confused now as to what t
View ArticleSuperCoder on "How to code when the intended procedure changed based on...
Thanks for your question. You should code based on what your documentation states which would be an EGD with biopsy. In this case, the provider did
View ArticleSuperCoder on "GI - Preventative exam"
Medicare does not cover 99397; Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender ap
View ArticleUser id : 64028 on "Resection using a suction (via the working channel)"
Patient had a polyp removal during Colonoscopy. Dr. used endo loop at base of polyp stalk and closed at the mucosal attachemnt prior to removal in ord
View ArticleSuperCoder on "Resection using a suction (via the working channel)"
The technique endoscopic mucosal resection generally employs special suction-activated device. Hence, you should use code 45390, Colonoscopy, flexible
View ArticleUser id : 16621 on "Mary Turner"
When will the RVU's be listed for new codes? 45388 in particular.
View ArticleSuperCoder on "Mary Turner"
There is no update on release of RVU's for new codes. For 2015, the new CPT code 45388 was introduced for colonoscopy with ablation. CMS decided to no
View ArticleUser id : 34267 on "New Modifier Use"
During a colonoscopy our physician removed polyps from descending colon with hot snare. Polyps were also removed in the cecum with cold biopsy forcep
View ArticleUser id : 15406 on "New X modifer w/ Endoscopy"
If patient has colonoscopy with polyp removal in one area & biopsy in another area, which X modifier would be appropriate or would you stick to th
View ArticleUser id : 15406 on "New X modifier with multiple ERCP stent placement"
Which new X modifier would be used when placing multiple stents during ERCP, or would -59 modifier still be the most appropriate to use? Thanks, Melan
View ArticleSuperCoder on "New X modifer w/ Endoscopy"
Thanks for your question. Medicare will still accept modifier 59 for distinct procedural service but it should not be used when a more specific modif
View ArticleSuperCoder on "New X modifier with multiple ERCP stent placement"
Thanks for your question. Medicare will still accept modifier 59 for distinct procedural service but it should not be used when a more specific modifi
View ArticleSuperCoder on "New Modifier Use"
Thanks for your question. Medicare will still accept modifier 59 for distinct procedural service but it should not be used when a more specific modifi
View ArticleUser id : 34267 on "Capsule Endoscopy"
We have a patient who is in the hospital on the Rehab floor. They want to bring her to our office long enough for us to do a capsule endoscopy (91110)
View ArticleUser id : 34267 on "Modifier 51 use"
When billing an EGD with dilation of esophagus and bx of gastric ulcer I would list 43248 first and 43239 2nd. Is it appropriate to attach modifier 5
View ArticleSuperCoder on "Modifier 51 use"
Thanks for your question. Per CCI a modifier is not needed when billing 43239; Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single o
View ArticleSuperCoder on "Capsule Endoscopy"
Thanks for your question. You are correct, Medicare will probably deny due to the place of service. Medicare will generally reimburse for the capsul
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