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43239 and 43236


Best answers
Our doctor perfomed an Edg w/bx and 4 injections with Botox. We coded it as 43239 (bx stomach) and 43236 59 (4 injections in the GE junction). Medicare appended appended the 59 modifier to the 43239 and paid us at 25% of the allowable and paid the 43236 at the allowable rate. Did we code this procedure correctly or is there another code we should have used. Any help will be greatly appreciated.:confused: