Wiki ASC newby biller

[rpgundy]

I am new at billing for an ASC...we do GI....questions: If the physician does an EGD biopsy 43239, then decides to do a ballon dilation of the esophagus 43249, can we as the facility bill for both of those? I assume Medicare will pay 80% of the first and 50% of the second...Is that correct? Any help would be greatly appreciated!!! Thank you in advance!!!

 

[cnoel79]

yes, I would put a mod 59 on 43239. and make sure you match up dx appropriately to each procedure. I have found this is easier to get processed the first time around. good luck..........