Wiki billing 43236 & 43256 at same time

[lindacoder]

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

 

[kathleenw84]

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.