• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Closure of gastrotomy&insert of gast.tube

Create Wiki
H

Hopp

Guest
Messages
228
Best answers
0
Hi everyone! Wondering if someone could help with coding&modifiers. My Doc did a closure of gastrotomy and insert.of percutaneous endoscopic gastrostomy tube.
The codes I chose were 43870 and 43246 - just wasn't sure what modifier to use (There were two separate incisions) I also could not find anything re:CCI edits using these two codes together. Please help? Thanks
 
If the gastrotomy he closed was the wound from a previous gastrostomy [maybe the tube came out?] and was an open procedure, then your codes should be correct, and I would employ the -59 on the open procedure, and the -51 on the lesser procedure, assuming it was all one trip to the O.R. This is kind of a gray area, as I understand the individual carriers have different preferences about both of these modifiers, but I think it is important to clarify that two different approaches were used.
C.Martin, CPC-GENSG
 
You must log in or register to reply here.
Top