Wiki 43260 Medicare Reimbursement

[dirctn2pnt@outlook.com]

I need help NEW TO THIS CODING:

Dr is billing 43260 43262-59,51 43264-59 medicare is not paying the 43260 stating it is inclusive. I am not sure if it is or not. Please assist with some cci edit information. thanks

 

[scorrado]

43260 is ERCP. Codes 43262 and 43264 include 43260 in them already so you would not bill for it again.