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Coding 43270 and 43255

SuperCoder Posted Mon 08th of December, 2014 12:42:45 PM

Can you code 43270 and 43255 together with a modifier?

SuperCoder Answered Mon 08th of December, 2014 13:17:33 PM

Thank you for your question.

Yes, they may be billed together with the appropriate modifier (ie. -59)

43270

Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when per ...
No CCI edit; Before reporting code, check Medicaid and payer policies.
CPT® Assistant

Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method
Code 43255 is a column 2 code for 43270 , but a modifier is allowed in order to differentiate between the services provided.
*Use modifier with code 43255
CCI edit Rule:
Standards of medical / surgical practice

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