Thomas Posted Sun 05th of July, 2015 20:57:52 PM
Patient was admitted to hospital and during his stay had an
EGD with BiCAP ablation of bleeding ulcer and biopsies.
I coded insurance claim as 43255-59 and 43239 as second CPT code.
Would this be the correct order in which to code with 59 modifier.
Thank you for your help - Gi subscriber
SuperCoder Answered Mon 06th of July, 2015 00:24:18 AM
YES, RVU of CPT 43255 is greater than RVU of 43239. Also, CPT 43255 is a column 2 code for 43239 , but a modifier is allowed in order to differentiate between the services provided. Append modifier -59 on CPT 43255. Order would be: Line 1: CPT 43255-59 X 1 unit.
Line 2: CPT 43239 X 1 unit.