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43246

  1. BillingTea

    Wiki Denial issues: No ROS and PEG tube placement

    Good morning! I have a claim I am struggling with. This claim was initially billed to UHC as: 02/05/17 99223 02/06/17 99233 - 57 02/07/17 31600 02/07/17 43246 - 59 I have several issues with this claim/denial: 1. Line 02/05/17 99223 was denied for level of service. We sent the...
  2. M

    Wiki PEG Insertion Assistant

    When performing in patient PEG placement our MD's regularly use one of the PA's to assist. There are procedure notes from both the MD and the PA. Can I bill both the 43246 and 43246-80? Is it the same for all payers? Thank you, Michelle Loyd, CPC
  3. P

    Wiki surgical endoscopy includes diagnostic endoscopy

    Per NATIONAL CORRECT CODING INITIATIVE POLICY MANUAL FOR MEDICARE SERVICES 1. Per CPT Manual instructions, surgical endoscopy includes diagnostic endoscopy. A diagnostic endoscopy HCPCS/CPT code should not be reported with a surgical endoscopy code. 2. If multiple endoscopic services are...
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