Reader Query:
Pay Heed to Payer Inputs for Smooth Payouts
Published on Wed Oct 08, 2014
Question: A patient had an EGD with injection and the provider used bicap cautery to endoscopically control bleeding from AVMs and performed biopsy on suspected masses. I billed Medicare 43255 first CPT® code and 43239-59 second CPT® code, however, Medicare added modifier 59 to 43255 and 59 plus 51 to second CPT® 43239. What should I do? Oklahoma Subscriber Answer: If you [...]