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43260 Medicare Reimbursement

  1. Red face 43260 Medicare Reimbursement
    Exam Training Packages
    I need help NEW TO THIS CODING:

    Dr is billing 43260 43262-59,51 43264-59 medicare is not paying the 43260 stating it is inclusive. I am not sure if it is or not. Please assist with some cci edit information. thanks

  2. #2
    43260 is ERCP. Codes 43262 and 43264 include 43260 in them already so you would not bill for it again.
    Susie Corrado, CPC
    ENT Coding/Billing

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