CPT^® 43239, Under Esophagogastroduodenoscopy Procedures

The Current Procedural Terminology (CPT^®) code 43239 as maintained by American Medical Association, is a medical procedural code under the range - Esophagogastroduodenoscopy Procedures.

Additional/Related Information

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Summary

The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.

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Forum

Have a question about CPT Code 43239 ? Start a discussion here

Egd with biopsies and botox injections

If it was a true biopsy and not a brushing or washing then yes you are correct. Only if biopsy and injection were for different reason or locations though. Otherwise just bill the 43239. Hope that mak... [ Read More ]

Egd with biopsies and botox injections

Patient came in for Egd. Ended up taking biopsies and injection due to dysphagia. I came up with 43239, 43236-59. Does this make sense or can I only bill one procedure? Thx for your help.... [ Read More ]

CLOVER RETRACTIONS

Clover is retracting tons of claims for the modifier used. I bill for a ambulatory surgical center. We bill 45380 with 43239 51 modifier. Clover is denying for the procedure code is inconsistent with ... [ Read More ]

G POEM coding - Digestive Disease

43497 is the code which includes scope, the myotomy, submucous inj/tunneling and the microclips per the coder desk reference descripiton of procedure. This is a new code as of 01/01/22 do not report ... [ Read More ]

coding

[QUOTE="fcctn-2008@yahoo.com, post: 506686, member: 703552"] A patient is having an EGD 43235 and the procedure was precerted by the INS , when the provider went to do the procedure it changed to 4323... [ Read More ]

coding

A patient is having an EGD 43235 and the procedure was precerted by the INS , when the provider went to do the procedure it changed to 43239, how do I bill this , should I use any modifier or leave th... [ Read More ]

Coding

You can only bill for what was actually performed - if CPT code 43239 best represents what the provider performed, then that's what you'll have to submit. There is no modifier specific to this situat... [ Read More ]

Coding

Medicare Rejection of 00731 CPT

Your coding should be: 43239/00731-QS-QZ K22.70, K29.70 Novitas has an LCD for MAC anesthesia. You should have that list and add one of the diagnoses from that list if one is documented. This will j... [ Read More ]

Medicare Rejection of 00731 CPT

[QUOTE="magalifano, post: 505367, member: 529169"] This is just billing for anesthesia for procedure of endoscopy . k21.9, k22.70,k29.70. CPT 00731. CRNA performs the anesthesia. Modifier QZ and with... [ Read More ]

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