AAPC - Back to school
Results 1 to 3 of 3

Thread: PEG placement denials

  1. #1
    Join Date
    Apr 2007
    Quincy, MA

    Question PEG placement denials

    AAPC: Back to School
    We bill for a general surgeon who does the gastrostomy tube placement while another doctor performs the endoscopic portion. We're having trouble getting paid for these. We bill 43246 with mod 62 and they deny stating services have already been paid to another provider. Has anyone else been having this problem, or has suggestions on how to bill a different way?

    Leanne, CPC
    General/Vascular Surgery

  2. #2


    You are billing correctly - it sounds as though perhaps the endoscopist isn't. Check with their office(s) to make sure that they are also using the -62 modifier.
    C.Martin CPC,CGSC

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Appeal

    Even if the other provider IS using the -62 modifier, you might still get a denial.

    Just appeal with a copy of your operative note (and a copy of the other doctor's note as well, if you can get it).

    Your op note should indicate that your doctor was a co-surgeon with Dr Endocsopist (and Dr E's should state co-surgeon with your doctor). And then clearly state what portion of the procedure your doctor performed.

    Our general surgeons will open and close for anterior spinal fusions where both the Orthopaedic surgeon and our surgeon will code the same arthrodesis with -62 mofidier ... even when we send them out together, we frequently get one of them denied as "duplicate." It just takes follow-up.

    Good luck

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. EGD Peg placement
    By dduchesney in forum Gastroenterology
    Replies: 1
    Last Post: 07-02-2014, 11:34 AM
  2. Peg/PeJ Tube Placement
    By SPECIALTYCODING in forum General Surgery
    Replies: 4
    Last Post: 09-13-2012, 04:05 PM
  3. PEG tube placement - Does anyone have any information
    By TWinsor in forum Gastroenterology
    Replies: 5
    Last Post: 04-03-2012, 08:43 PM
  4. PEG tube placement
    By BABS37 in forum Gastroenterology
    Replies: 0
    Last Post: 02-10-2012, 10:52 AM
  5. PEG tube placement - I know that the old CPT code
    By lindacoder in forum General Surgery
    Replies: 3
    Last Post: 09-29-2009, 11:58 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.