CPT^® 43235, Under Esophagogastroduodenoscopy Procedures

The Current Procedural Terminology (CPT^®) code 43235 as maintained by American Medical Association, is a medical procedural code under the range - Esophagogastroduodenoscopy Procedures.

Additional/Related Information

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Summary

The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.

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MODIFIERS
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G POEM coding - Digestive Disease

43497 is the code which includes scope, the myotomy, submucous inj/tunneling and the microclips per the coder desk reference descripiton of procedure. This is a new code as of 01/01/22 do not report ... [ Read More ]

code 43235

Please advice can code 43281 and 43235 can be billed together. We billed them together but code 43235 is denied as incidental to 43281... [ Read More ]

coding

[QUOTE="fcctn-2008@yahoo.com, post: 506686, member: 703552"] A patient is having an EGD 43235 and the procedure was precerted by the INS , when the provider went to do the procedure it changed to 4323... [ Read More ]

coding

A patient is having an EGD 43235 and the procedure was precerted by the INS , when the provider went to do the procedure it changed to 43239, how do I bill this , should I use any modifier or leave th... [ Read More ]

Coding

43239 & 43235 Denial on same day

[QUOTE="csperoni, post: 505082, member: 164618"] Answered in your original post [URL]https://www.aapc.com/discuss/threads/43239-43235.184519/[/URL] Please do not post the same question multiple times.... [ Read More ]

43239 & 43235

Hi, so 43235 is a diagnostic procedure, if no other procedure was performed you would bill the diagnostic 43235 by itself. However, in your case a biopsy was performed, which trumps that diagnostic pr... [ Read More ]

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