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Debra Posted Thu 18th of December, 2014 15:51:53 PM

When I bill EGD together with colonoscopy I am bill 45378 1st and 43239.

Should I add 51 modifier.

I have read both "to add it" AND "to not add it". I am not sure which is correct.

SuperCoder Answered Thu 18th of December, 2014 23:37:05 PM

Thanks for your question. When billing 45378 and 43239 you should append a modifier 51 for multiple procedures to 43239. Some payers do not require the 51 modifier to be added to the claim. In that case the payer will take the appropriate reduction automatically like Medicare, so you should definitely check with your specific payer to be sure that they accept the modifier. Hope this helps.

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