coachlang3
True Blue
Question:
My doctor did an Upper EGD with biopsy (43239) he states in the note he made it as far as the antrum of the stomach so I added the 52 modifier since he did not complete the EGD into the duodenum.
Does he need to document why he did not scope into the duodenum?
All he states in the note is he found food in the greater curvature of the stomach. He did not state that it procluded him from "finishing" the procedure.
I have one of our A/R reps asking me why I would put the 52 modifier and she wants to know if the doctor should have put a reason he didn't "complete".
So, should he have? I guess, yes. Does he have to? No idea.
My doctor did an Upper EGD with biopsy (43239) he states in the note he made it as far as the antrum of the stomach so I added the 52 modifier since he did not complete the EGD into the duodenum.
Does he need to document why he did not scope into the duodenum?
All he states in the note is he found food in the greater curvature of the stomach. He did not state that it procluded him from "finishing" the procedure.
I have one of our A/R reps asking me why I would put the 52 modifier and she wants to know if the doctor should have put a reason he didn't "complete".
So, should he have? I guess, yes. Does he have to? No idea.