AAPC - Back to school
Results 1 to 2 of 2

Thread: 43260 Medicare Reimbursement

  1. #1

    Red face 43260 Medicare Reimbursement

    AAPC: Back to School
    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
    Join Date
    Apr 2007


    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

Similar Threads

  1. Medicare Reimbursement -PA/NP
    By Gopinath in forum Billing/Reimbursement
    Replies: 4
    Last Post: 11-07-2014, 10:47 AM
  2. Medicare bilateral reimbursement
    By KMCFADYEN in forum Anesthesia
    Replies: 3
    Last Post: 09-01-2013, 02:25 PM
  3. Transabdominal ERCP - Still use 43260?
    By bridgettemartin in forum Gastroenterology
    Replies: 0
    Last Post: 09-04-2012, 10:44 AM
  4. Ercp 43260 & 76000
    By fami in forum Urology
    Replies: 2
    Last Post: 03-08-2010, 01:43 PM
  5. Medicare reimbursement
    By hardtail58 in forum Medicare Regulations
    Replies: 2
    Last Post: 07-01-2009, 03:06 PM

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.