SuperCoder on "Flex sig on patient who only has rectal stump"
We cannot take code from colonoscopy series since colonoscopy was not performed due to absence of the entire colon. The patient has a history of total
View ArticleUser id : 13296 on "EGD with peg tube removal"
Is there a code for removal of peg tube via egd? The closest thing I can find is 43247 (foreign body), IS this correct
View ArticleSuperCoder on "EGD with peg tube removal"
NCCI edits states: Intubation of the gastrointestinal tract (e.g., percutaneous placement of G-tube) includes subsequent removal of the tube. CPT code
View ArticleUser id : 27684 on "Colonoscopy with BICAP ablation of AVM"
We filed a Medicare claim using CPT 45383 which was denied/invalid and then refiled with 45388 and have since been notified that code is invalid too.
View ArticleSuperCoder on "Colonoscopy with BICAP ablation of AVM"
45388 is the code for colonoscopy with BICAP ablation. A single unit of 45388 applies to ablation of one or more lesions. The new code does not requir
View ArticleUser id : 10697 on "Diagnosis for reassessing site of hyperplastic polyp...
Patient had a hyperplastic polyp of the rectum removed via polypectomy at the beginning of the year; pathology described the tissue as hyperplastic po
View ArticleSuperCoder on "Diagnosis for reassessing site of hyperplastic polyp...
Physician want to do the procedure to reassess the polypectomy site for any another growth for neoplastic behavior. Use primary Diagnosis code as V71.
View ArticleUser id : 27684 on "Colonoscopy with BICAP ablation of AVM"
What CPT code should I use for colonoscopy with BICAP ablation of AVM? (Medicare does not recognize 45383 or 45388)
View ArticleSuperCoder on "Colonoscopy with BICAP ablation of AVM"
Well, code G6024; Colonoscopy, flexible; proximal to splenic flexure; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal
View ArticleUser id : 27684 on "EGD's with modifiers"
What is the correct order of coding for EGD with baloon dilation of esophagus (43249) AND EGD with Biopsies at same setting? We coded 43249 first and
View ArticleSuperCoder on "EGD's with modifiers"
No Need to bill CPT code 43239 with 59 modifier. CPT code 43249 and 43239 can be billed together without any modifier. Also, RVU value of 43249 is $
View ArticleUser id : 27684 on "Gastroenterology - Oklahoma"
Patient was admitted to hospital and during his stay had an EGD with BiCAP ablation of bleeding ulcer and biopsies. I coded insurance claim as 43255-5
View ArticleSuperCoder on "Gastroenterology - Oklahoma"
YES, RVU of CPT 43255 is greater than RVU of 43239. Also, CPT 43255 is a column 2 code for 43239 , but a modifier is allowed in order to differentiate
View ArticleUser id : 17667 on "Polypectomy with endoloop during colonoscopy?"
I am looking for any information on recommendations for billing removal of a polyp on colonoscopy using an endoloop? Thanks.
View ArticleSuperCoder on "Polypectomy with endoloop during colonoscopy?"
An endoloop is a detachable snare device used for hemostasis during procedures such as endoscopic polyp removal. Because the endoloop uses "snare tech
View ArticleUser id : 2620 on "Bundling of 43248 and 43239"
We had been using a 59 modifier on the 43239 because of Medicare denials. In our recent audit we were told since they were not bundle no modifier was
View ArticleSuperCoder on "Bundling of 43248 and 43239"
CCI edits do not show bundling issue between these codes. You should ask with your insurance company to provide policy or documentation, why they are
View ArticleUser id : 4247 on "Bundling between 43248 and 43239 question already answered...
This is actually not a question, but I wanted to confirm that for the professional side, modifier 51 would be appropriate. For the facility side, no
View ArticleSuperCoder on "Bundling between 43248 and 43239 question already answered by...
You can bill 2 digit modifiers (up to 4 modifiers in a claim line) in facility UB 04 claim form. Yes you are right, you should ask the insurance compa
View ArticleUser id : 10697 on "dx for non-congenital esophageal ring"
What diagnosis code would I use for non-congenital esophageal rings/furrows?
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