Reader Question:
Consider Date of Service When Billing 43235 With 91035
Published on Fri Apr 01, 2011
Question: In volume 12, number 10 of the
Gastroenterology Coding Alert, a reader asked about which codes to use when billing a Bravo capsule placed during EGD. To my knowledge, 91035 includes endoscopy. However, the answer given in the reader's question was to bill 43235 and 91035. Can you clarify this?Michigan SubscriberAnswer: What was not made clear in the simple answer provided was the billing dates for each code. In general, a physician needs to perform an EGD to evaluate the symptoms which are also prompting the use of a Bravo capsule. In order to place a Bravo capsule the physician needs to know the location of the lower esophageal sphincter or squamocolumnar junction. This is where it gets tricky.When an endoscopy is performed to investigate symptoms then the endoscopy procedure will be billed on the date it was performed with the ICD-9 code representing the patient's symptoms. The [...]
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