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Old 01-08-2009, 11:05 PM
rcclary rcclary is offline
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Question 43261, 43262, 43268

If I am billing a ERCP w/ biopsy (43262), ERCP w/ sphincterotomy(43262), and an ERCP w/ stent insertion (43268) would I use the 51 or 59 modifier and would I use it on just one procedure or two?
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Old 01-09-2009, 01:07 AM
j.berkshire j.berkshire is offline
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The only modifier you might use is 51; the 59 modifier is not necessary for payment purposes. None of these three codes is bundled into any other of the codes by CCI edits.
Jenny Berkshire, CPC, CEMC, CGIC
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