tci General Surgery Coding Alert - 2006 Issue 1

READER QUESTIONS: Separate Documentation Important for Modifier 62

Question: Recently, our surgeon placed a PEG tube during the same session that a gastroenterologist performed an EGD. Should we bill 43246 with modifier 62, or should we report 43750 for our portion and let the gastroenterologist report 43235 separately for his portion?Virginia Subscriber Answer: You-re probably more correct to report 43246 (Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with directed placement of percutaneous gastrostomy tube) with modifier 62 (Two surgeons).In this case, each physician performed a distinct component of a single procedure. Therefore, separately reporting 43750 (Percutaneous placement of...

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