AAPC - Back to school
Results 1 to 2 of 2

Thread: EGD with EMR

  1. #1
    Join Date
    Apr 2007

    Default EGD with EMR

    AAPC: Back to School
    Has anyone else in an ASC setting ever billed for an EGD with EMR (endoscopic mucosal resection) of a hemi-cercumferential area of distal barrett's due to intramucosal carcinoma? Please note that the devices is used by applyng a band to create a berry-like pseudopolyp which is then removed by snare. This device costs as much as what Medicare pays for a normal EDG by Snare CPT 43251? According to coding guidelines ASC's are not allowed to use the 22 modifier to increase fees due to the cost of the device. Do you know if there is a HCPC code for this device (not an implantable supply)? Or would it be appropriate to bill unlisted CPT 43289 by report?
    Last edited by GLORIAR; 07-22-2009 at 08:55 AM. Reason: removed tags

  2. #2
    Join Date
    Apr 2007


    We ended up billing CPT 43251 (by snare), since there was no response from anyone else.

Similar Threads

  1. EGD w/ablation & EGD w/biopsy
    By ohsuziqu in forum Gastroenterology
    Replies: 0
    Last Post: 05-05-2015, 12:02 PM
  2. Emr
    By shannia in forum Gastroenterology
    Replies: 1
    Last Post: 02-10-2015, 12:08 PM
  3. EGD with EMR for ASC
    By GLORIAR in forum Outpatient Facilities
    Replies: 0
    Last Post: 10-27-2010, 12:57 PM
  4. EMR's
    By utgirl in forum Resume Postings
    Replies: 4
    Last Post: 08-11-2009, 10:59 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.