I bill for an asc, and i think the asc you speak of needs to do their homework because they are losing money by billing a diagnostic egd. first of all, if the doctor dilated the esophagus then it needs to be billed that way. You are correct in that you need to bill the scope with dilatation. Note -- when doctor does an unguided dilatation and biopsies both 43239 and 43450-59 can be billed with the unguided dilatation.
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