• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki billing 43236 & 43256 at same time

Create Wiki
L

lindacoder

Guest
Messages
282
Location
Northeast Kansas AAPC
Best answers
0
Patient is in global from bariatric surgery and had to have EGD with stent insertion and thrombin glue injection. I billed both codes with a 78 as related to prior surgery and they paid on the glue injection but no the stent insertion. Do I need to also put a 58 modifier to get the claim paid or would you just bill the one code?

Thanks
 
Did your MD do the Bariatric Surgery?

Unless your MD was the performing physician for bariatric surgery, the EGD should just go out as if another surgery never happened. :) Erase the 78 modifier, or, at least I would.
 
You must log in or register to reply here.
Top