CPT^® 43248, Under Esophagogastroduodenoscopy Procedures

The Current Procedural Terminology (CPT^®) code 43248 as maintained by American Medical Association, is a medical procedural code under the range - Esophagogastroduodenoscopy Procedures.

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Summary

The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the esophagus.

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Bill both 43248 & 43249?

This data is very dated. Can anyone offer advise on billing the 43248 and 43249 together in the same session. The first approach did not show any abnormality so it was decided to proceed dilation of t... [ Read More ]

EGD coding and billing on 1500 and UB04 please

Please help, I just started to work for ASC and everything is new to me. I been asked to bill identical 2 claims on 1500 and UB04. Can someone please tell me if you add mod. -26 to each code on 1500?... [ Read More ]

43248 allowed with 43239

Is 43248 for esophageal stricture allowed with 43239 with modifier 59 for barrets esophagus being in the same anatomical site?... [ Read More ]

43248 and 43239 allowed

Is 43248 for esophageal stricture allowed with 43239 with modifier 59 for barrets esophagus being in the same anatomical site?... [ Read More ]

Dilations and Biopsies during EGD biopsy cci edit dilation egd

My physicians will very seldom require to use an alternate method of dilation when one doesn't produce the result they desire. For example, they will perform a 43248(guide wire) and a 43249(balloon) i... [ Read More ]

EGD Removal of Peg and EDG Guide Wire J Tube Instertion

Hi , Would I be correct to bill 43247 and 43248 with modifier 59 on this? Thank you... [ Read More ]

NC Medicaid Modifier Problem modifier issue mult proc nc medicaid

Dear Coding Friends, I am experiencing NC Medicaid rejections on the following: 45385 43248 45380-59 43239 59 They kept denying for wrong modi... [ Read More ]

43235, 43237, 43239 questions. Need Help!

depends on how the physician obtained the specimen. 43235 - is the diagnostic procedure in which your said specimen is gathered by brushing or washing, this is also indicated as a separate procedure ... [ Read More ]

43235, 43237, 43239 questions. Need Help!

I have some questions on some codes and I was hoping you could give me some education. For CPT 43235 does a specimen have to be collected to use this code or is this with/without? For 43248 can a spe... [ Read More ]

EGD with Biopsy and Dilatation in same location

Hi all, I am having a debate with some over an EGD with biopsy and dilation done on the same site. My opinion is that we cannot code since it is within the same anatomical site. Some are stating we... [ Read More ]

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