Patient in for EGD diagnostic (43235)
Preop indications; dysphagia & history of benign esophageal stricture
Found esophageal stricture at 37 cm and scope would not pass.
Dilation of distal esophageal with #16.5 & #18 hydrostatic balloon.
Then proceeds to stomach and duodenum.
Physician has indicated 43235 & 43220
However there is a Medicare CCI Edit of (0) in place with this code combination.
Any suggestions on how to get her paid for both services performed?
In other cases she used the dilator for dilation (43450) which is billable with EGD.
Fairly new to GI billing and thankful for your help.
pvaughn
Preop indications; dysphagia & history of benign esophageal stricture
Found esophageal stricture at 37 cm and scope would not pass.
Dilation of distal esophageal with #16.5 & #18 hydrostatic balloon.
Then proceeds to stomach and duodenum.
Physician has indicated 43235 & 43220
However there is a Medicare CCI Edit of (0) in place with this code combination.
Any suggestions on how to get her paid for both services performed?
In other cases she used the dilator for dilation (43450) which is billable with EGD.
Fairly new to GI billing and thankful for your help.
pvaughn