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Wiki Billing more than one endoscopy procedure for same patient performed by two physician

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CRmiller

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I am not sure how I would bill a 45330 performed by one physician and 46040 performed by a colorectal surgeon ( who happened to be in the facility performing other procedures. ) In doing so it saved the patient from coming back to have this done another day after discovering the pt had a peri rectal abscess. I am billing the facility fee electronic to Medicare. I could list both procedures on the claim but how would I note who performed what? We list who the practicing/referring physician was for the procedure being billed by the facility but we can only list one.
 
Well, for starters since those codes bundle into one another I don't see any way you can bill both on the same day, even for different physicians. You would have to bill the higher reimbursed code and maybe a surgical assist from the other doc if it is allowed. I don't see any way, in my limited knowledge to bill both.
 
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