Wiki Colonoscopy with EGD - Patient had a colonoscopy

[svms]

Patient had a colonoscopy and an EGD during the same session.

I am billng 45378 1st, do I need to add 51 modifier to 43239.

I've done some research on this, and I have read "to add it" and "to not add it".

I need some direction... as well as guidelines as to why or why not.

 

[syllingk]

Coding wise you do not need to add it, but check with the payer. Here True Blue demands it be added and Medicaid says it must be in the Modifier place.