Wiki EGD Question

[drhoads]

I have a physician attempting to bill for cpt 43251, 43239 & 43236. My question is can 43239 & 43236 be billed together. Physician perfromed random biopsies, and a polyp that was removed via snare after base was injected with saline. Thank you.

 

[WROGERS]

Yes. Per CCI edits you can bill both alongs as 43239 is a seperate and distant service. Since the doctor did a polpectomy and biopsies, you can bill both. Amend modifier 59 to the 43239 and have it as your 2nd CPT code.

Hope this is helpful.

 

[drhoads]

So then the CPT order would be as follows: 43251, 43239-59, 43236-Do I need a modifier?