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Upper GI Endoscope w/Ultrasound

Lassal423

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Any thoughts on this question: When upper UES is performed and advanced only to the stomach body, do we modify with 52 or use a different code for the descriptor? Code 43259 states that the scope should go to the duodenum and/or jejunum, as appropriate.

If the physician doesn't go that far, would you append 43259 with modifier 52, or use a different code?

Thanks for the expertise!
 
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