Wiki EGD-Multiple Procedures

aschaeve

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Can you bill cpt code 43239-EGD with biopsy and 43248-EGD-insertation of guidewire with dilation? If yes, please provide supporting documation.

Thank you,

Alicia CPC
 
Yes, as long as they are on different sites. If the bx is performed where the dilation occurred, then no you can't. Per CCI edits, 43239 is bundled with 43248 but a -59/XS modifier is allowed on 43239 if it is a separate site.
 
Thank you, but is there anywhere else, besides NCCI that states that these 2 codes cannot be billed together when performed on the same site?
 
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