Bill both 43248 & 43249?

SUEV

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Local Chapter Officer
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Can 2 different dilations be billed at the same session? My provider performed an EGD w/balloon dilation and then a savary dilation over a guidewire. There isn't a CCI edit against it but it seems like only one should be billed. Can anyone help on this?
Thanks,
Sue
 

coachlang3

True Blue
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Did the doctor dictate in the note the measurements of where he did the dilations? It could be helpful if the payor comes back looking for notes.

That's about it though, you can bill both.

Well let me clarify a bit.

Did he do one, find it unsuccessful and then do it the other way? If that's the case then you would only charge the successful dilation.
 

lmoreau

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43248 and 43249

Physician performed both dilation same session but neither were successful, so do I put modifer 22 on the one with the highest RVU's, because it was same site??
 
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