Can 43255 and 43239 be billed together?
Note: Although 43255 has a higher relative value unit (RVU) than 43239, when your gastroenterologist performs 43255 and 43239 together, you should put modifier 59 on 43255. However, if you’re not sure that every payer wants modifier 59 on a multiple EGD claim, you cannot be sure that the claim will be clean.Click to see…
Note: Although 43255 has a higher relative value unit (RVU) than 43239, when your gastroenterologist performs 43255 and 43239 together, you should put modifier 59 on 43255. However, if you’re not sure that every payer wants modifier 59 on a multiple EGD claim, you cannot be sure that the claim will be clean.Click to see full answer. In this way, can 43251 and 43239 be billed together?Though modifier is allowed but still you cannot bill these together because both procedures are done on the same area.Secondly, can CPT codes 43239 and 43249 be billed together? A: CPT guidelines permit the reporting of multiple endoscopy codes as appropriate. Codes 43239 and 43249 describe distinctly different procedures and should not be bundled by the payers. Both codes however include an upper GI endoscopy and payment adjustments should be expected for the duplicative portion. Considering this, can 43248 and 43239 be billed together? As per CCI guidelines, CPT codes 43239 and 43248 were not having the CCI conflict till 31st December’2017. According to Quarter 1 of 2018 data, code 43239 is a column 2 code for 43248, hence, modifier-59 is allowed in order to differentiate between the services provided. You are welcome.Can CPT code 43239 and 43259 be billed together?43259 (EUS) and 43239 of stomach lesions also comes to mind when billing both. As per NCCI edits, there is no bundling issue of CPT code 43252 with 43239, 43250, 43251, 43270, and 43254. OE procedures, when performed, are reported as a separate and distinct procedures from the endoscopy procedure performed.
