Wiki EGD w/Bravo PH

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EGD w/Bravo PH


Bill a 91035 with modifier 26 after the EGD has been read.

NaliniAAPC

Expert
Messages
347
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0
Hi,
EGD with placement of the Bravo capsule PH monitoring, again its same EGD-43235 ONLY.

Regards,
Nalini CPC
 

rmilly

Guest
Messages
17
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0
Good Morning,
According to the co. that manufactures the machine we were told at our office to
use 43235 & 91035 w mod 59 and the 26
 

leskysue

New
Messages
9
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0
I also bill a 43235 but the 91035 with modifier 26 is billed two days after the EGD because that's when it's read.
 

bbeatty

Networker
Messages
48
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0
Are you using the Given Bravo? We are just starting this and were told to bill the EGD on the day of the procedure and 91035 (NO modifier) on the day of the reading.
 

gastro59

Guest
Messages
12
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0
If you are doing the Bravo Interp--you use a -26 modifier especially if you don't own the machine.

The Interp is always billed after the placement and only the EGD code is used at the time the capsule is placed.

Bravo's in themselves are sometimes problematic with insurers. I now preauthorize any
out of state Blue Shield plans as they consistently deny the Interp as "experimental"

Otherwise Medicare has always paid doing it this way and having the docs read the interp
at the office...
 
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