Double Balloon enteroscopy?

bdobyns

Networker
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Mesa Arizona
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I have read coverage determinations from some of the carriers that there is not a specific code for the Double Balloon Enteroscopy. What code would be apporpriate?
 

gina_marie

Contributor
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My doctors have been using 44360-44378 and adding a -22 modifier to show it was a longer than normal procedure. We had actually contacted another gastroenterologist office in Austin, TX that did them and they informed me they were billing the same way. The main problem is, we are not seeing the reimbursement for the -22 modifier even though I am sending the medical records in with the claim (faxing to Medicare).

If there is a better/more accurate code, this would be great to know!
 
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