Wiki egd with botox injection esophagus


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when an egd and balloon esophageal dilation is performed as well as botox injection of esophagus, is it appropriate to use a modifier to unbundle those procedures if they are both performed of esophagus? i would think unbundling with modifier 59 would only be appropriate for a different site.
2 cents here - I've always thought that if the injection was done on a stenosis and the balloon dilation was done on the same stenosis, then no, it wouldn't be appropriate to report them separately. If the injection was done in one spot in the esophagus and the balloon dilation done in a different spot in the esophagus, then I would code them separately. You can unbundle for different spots in the esophagus, but not if it's the same place in the esophagus for both.