My physicians will very seldom require to use an alternate method of dilation when one doesn’t produce the result they desire. For example, they will perform a 43248(guide wire) and a 43249(balloon) in the same session. Most recently, we billed those two codes along with a 43239(biopsy) and received a denial only for the biopsy. Both dilations were allowed and paid. Is anyone aware of a new CCI edit or otherwise restricting these code parings? If we were to bill only one dilation with the biopsy we would be paid substantially more then the payments received for both dilations which makes no sense. Thoughts appreciated.