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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

43239 with 43259

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

Medical Billing and Coding Forum

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?

Medical Billing and Coding Forum