CPT^® 43259, Under Esophagogastroduodenoscopy Procedures

The Current Procedural Terminology (CPT^®) code 43259 as maintained by American Medical Association, is a medical procedural code under the range - Esophagogastroduodenoscopy Procedures.

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Summary

An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During this procedure, the physician uses endoscopic ultrasound to examine the patient.

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Eus 43259 vs 43237

This question was addressed in the CPT Assistant, January 2016 - they have stated that 43237 applies if only one or two of the regions are examined by US, but not all three (esophagus, stomach, OR duo... [ Read More ]

Eus 43259 vs 43237

I have always coded EUS a 43259 if it passes the second part of the duodenum, but 43237 looks like it could fit too. How do you guys code it?... [ Read More ]

Egd

ICD 10 Z13.810 Encounter for screening for upper gastrointestinal disorder 43235Esophagogastroduodenoscopy (EGD) – CPT© Codes 43235-43270 The American Society for Gastrointestinal Endoscopy (ASGE)... [ Read More ]

Coding EUS and ERCP on same day

Hi. I am new to the coding world. I work for a GI physician. He did an EUS and an ERCP with fluoroscopic guidance. I billed it as I was instructed as 43274-59 (ERCP with stent placement), 43259 (E... [ Read More ]

43239 with 43259

The modifier should be on 43239 not 43259, i would bill it as 43259 43239-XU... [ Read More ]

43237 & 43259

[b]43237 vs 43259[/b] Basically, 43237 is when the EUS view 1 or 2 structures (either the esophagus, stomach, or duodenum) and 43259 is if all 3 structures are examined with the EUS. This is from C... [ Read More ]

43239 with 43259

I believe the issue that you are having is not just the modifier but the order. It should be 43259 43239-59 or I would use XS.... [ Read More ]

43237 & 43259

Can anyone please tell me the real difference between these codes and what should be in the dictation to indicate which of these codes to use? Thank-you... [ Read More ]

43239 with 43259

I need clarification. When these two procedures are done together and you bill them out with 43239, 43259-59 the only code that Medicare pays is 43259. Now I called Medicare and they indicate that a... [ Read More ]

Cpt 43237 & 43259

[b]The difference between 43239 and 43259[/b] This information is from [I]Optum Encoder Pro[/I]: 43259-Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, includi... [ Read More ]

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