Wiki Egd w/submucosal injection - My physician is billing

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cb122454

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Good day,

My physician is billing for an EGD w/direct submucosal injection(any substance) 43236, but the only payable dx code, per the LCD is 530.0- achalasia & cardiospasm. The patient has blood in stool (578.1.

Is there another CPT code that can be used? Many thanks
 
Hmmm... No, 43236 would be the correct CPT code granted he did inject a substance during EGD. So the patient has medicare ins? What is the LCD ID#? He injected something for blood in stool? What did he inject? Can you post the documentation? :D
 
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