Results 1 to 2 of 2

Question on billing multiple procedures-I just want to verify

  1. #1
    Default Question on billing multiple procedures-I just want to verify
    Exam Training Packages
    I just want to verify that you can bill a 43259 and a 43239 with a 59 modifier. Also a 43242 and a 43239 with 59 modifier. Pretty sure that you can but just want to double check. Thanks!!!!!

  2. #2
    Location
    Mesa Arizona
    Posts
    57
    Default EUS + EGD W/bx
    The answer is yes they can. However, our practice has also had problems with this. Many of the Commercial carriers have updated the claims processing software, and let's face it none of these software packages are perfect. According to the NCCI edits, both code pairs are billable together. If you are running into problems with the commercial carriers I have had good success with appeal letters including a cut and paste copy from the current NCCI edits showing that the code pair is billable together. The NCCI edits can be found on the CMS website.

Similar Threads

  1. Coding Multiple Procedures on Multiple Digits
    By lora.a.cherry@gmail.com in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 01-02-2014, 08:43 PM
  2. Coding Multiple Procedures on Multiple Digits
    By lora.a.cherry@gmail.com in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-01-2014, 12:34 PM
  3. Surgical coding question-multiple procedures
    By TKelsey in forum General Surgery
    Replies: 2
    Last Post: 11-30-2011, 10:45 PM
  4. Question on billing multiple procedures
    By sbarrila in forum Gastroenterology
    Replies: 2
    Last Post: 07-13-2010, 06:22 PM
  5. Multiple Procedures - I need help
    By cvickid in forum General Surgery
    Replies: 1
    Last Post: 10-31-2008, 03:59 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?

Login

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.