I need clarification. When these two procedures are done together and you bill them out with 43239, 43259-59 the only code that Medicare pays is 43259. Now I called Medicare and they indicate that another modifier needs to go on the 43239 and not a -59 or a -51. What is the proper way to bill for these two procedures? I’m leaning towards just not billing the EUS all together. any thoughts? Thank-you
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43237 & 43259
Can anyone please tell me the real difference between these codes and what should be in the dictation to indicate which of these codes to use? Thank-you
Cpt 43237 & 43259
Hello,
Can anybody explain difference between CPT 43239 and 43259. In our case, EUS was performed till duodenum and 2nd portion of duodenum was crossed during this examination.Jejunum was not examined. The patient does not have surgically altered stomach and no anastomosis is present. Which CPT code be reported?