User id : 34267 on "ERCP"
Our physician performed an ERCP with spincterotome, '43262'. He also used a balloon, '43264' to remove suspected stones but found there were none. Do I still bill 43264? If so, do I use a modifier 52...
View ArticleSuperCoder on "Random biopsy taken"
The biopsy term itself suggests 45380. For a hot biopsy he will specifically says it or uses hot biopsy forceps. The default is cold biopsy only.
View ArticleSuperCoder on "ERCP"
Since the physican uses balloon to remove suspected stones, the procedure is completed but in an incomplete manner. You will have to use Modifier 52/53
View ArticleUser id : 23352 on "47000?"
This is just for Biopsy of the liver,needle;percutaneous. Which we used 47000
View ArticleUser id : 23352 on "ERCP & EUS Guided Physician is calling the EUS non...
Any suggestions on this ?
View ArticleUser id : 23352 on "43248 with mod 52?"
the physician is stating that it did not reach the Esophagus. was unsuccessful. So I would code it with just cpt 43248?
View ArticleUser id : 23352 on "43256 and 43499 unlisted esophagus"
The Endoscope was introduced through the mouth, and advanced to the antrum of the stomach. The upper GI endoscopy was accomplished without difficulty. The patient tolerated the procedure well.The...
View ArticleSuperCoder on "43248 with mod 52?"
Yes, you are correct since it did not reach the esophagus, 43248-52 will be reported.
View ArticleSuperCoder on "ERCP & EUS Guided Physician is calling the EUS non standard...
Hi there,Sorry for the delay. This is a complex case. We have asked our editors to review it to make sure you get the right codes.We will get back soon.Thanks
View ArticleUser id : 23352 on "ERCP & EUS Guided Physician is calling the EUS non...
Hello. I know it is very complex case. Great thank you so much
View ArticleUser id : 33403 on "colon screening visit"
can a gastro bill for a colon screening visit when the patient comes to see him in the office a few days before the procedure?
View ArticleSuperCoder on "colon screening visit"
The visit prior to a screening colonoscopy for a healthy patient is not billableScenario 1: If patient comes in with no symptoms and they just need to have a screening for either preventive age 50+...
View ArticleSuperCoder on "43256 and 43499 unlisted esophagus"
"Over 1 hour was spent just removing solid necrosis from the cyst cavity. " I would recommend using 43256-22 to show the extra work done.This will eliminate us the use of 43499. Dilation will be...
View ArticleUser id : 23352 on "Physician and NP visit same day?"
Our NP is working with our physician same clinic. We are planning to see new patients two days a month. She will have her own visit and cover certain topics with each patient. And NP will then see the...
View ArticleUser id : 25547 on "ERCP W/ SPHINCTEROTOMY , STENT PLACEMENT AND BALLON SWEEP"
IF OUR PHYSICIAN DOES A SPHINCTEROTOMY WITH STENT PLACEMENT AND DID A SWEEP OF THE BILE DUCT WITH A BALLON TO ENSURE THERE WERE NO STONES, AND THERE WERE NONE.....CAN HE CHARGE FOR THE BALLON...
View ArticleSuperCoder on "ERCP W/ SPHINCTEROTOMY , STENT PLACEMENT AND BALLON SWEEP"
There is also a note included in the CPT definitions for codes 43264 and 43265 that states [w]hen done with a sphincterotomy, use 43262.You can code it to 43262 which will include balloon sweep charge...
View ArticleSuperCoder on "Physician and NP visit same day?"
When a physician and an NP both have a face-to-face encounter with a patient on the same day, only one bill needs to be sent. The notes of both practitioners can be combined to decide on the level of...
View ArticleUser id : 34091 on "CPT code for the UGI"
I am looking for the cpt code the the (nasal) UGI. I was wondering if it would be the same 43202 and 43232. Can someone please help me.
View ArticleSuperCoder on "CPT code for the UGI"
An excellent coding alert article I am attaching for you for T-EGD(nasal endoscopy). This is a 2009 article so some figures must have changed but will help you a lot. Please have a look. ThanksBe...
View Article