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Gastroenterology Coding Alert

You Be the Coder:

Be Careful of Modifiers in Co-opted GI Procedures

Question: Our pediatric gastroenterologist scheduled a patient for an EGD with biopsy, coordinating with one of our adult GI docs to do an EUS during the same session. My claims will have the same group tax ID, but different NPIs. Can I bill it with 43242? Should I submit the 43239 with modifier 59? What about 43242? They were not totally [...]