Wiki EGD Bundling

[GastroGal]

EGD with esophageal balloon dilation and biopsy. There is a CPT assistant that states 43239 and 43249 can be coded together with a modifier on the same day, but can both be coded for the same site (Distal esophagus)? The CPT assistant doesn't mention this specifically.

 

[nickelclaw]

yes they can if for separate reasons say K22.2 and K21.9 or path comes back esophagitis but there was a reason for the biopsy separate from the dilation.
Hope that makes sense.
Use modifier XU as the components in both codes are different and unrelated or 59.

 

[nickelclaw]

43239-XU