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43261, 43262, 43268

  1. #1
    Question 43261, 43262, 43268
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    If I am billing a ERCP w/ biopsy (43262), ERCP w/ sphincterotomy(43262), and an ERCP w/ stent insertion (43268) would I use the 51 or 59 modifier and would I use it on just one procedure or two?

  2. #2
    The only modifier you might use is 51; the 59 modifier is not necessary for payment purposes. None of these three codes is bundled into any other of the codes by CCI edits.
    Jenny Berkshire, CPC, CEMC, CGIC

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