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Thread: ERCP modifiers

  1. #1

    Smile ERCP modifiers

    AAPC: Back to School
    When coding multiple ERCPs, do I need a 59 modifier? I thought that I had read somewhere (of course I can't find it now) that for ERCPs a modifier was not necessary. As usual, thanks in advance for your help.

  2. #2
    Join Date
    Apr 2007


    It depends on the codes. Most ERCP coding combinations are not bundled by CCI, but check the CCI edits at http://www.cms.gov/NationalCorrectCo...tNumPerPage=10

    Here's the ERCP codes from the mutually exclusive coding pairs: if both services are provided, the modifier 59 can be used on the code in the second column.

    43268 43267 19960101 * 1
    43269 43268 19960101 * 1
    Jenny Berkshire, CPC, CEMC, CGIC

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