tci Part B Insider - 2003 Issue 17

CPT Rules Also Hit EUS

It's not just the NCCI edits that restrict billing for other services with EUS. The CPT guidelines from the American Medical Association forbid billing for 76975 (Gastrointestinal endoscopic ultrasound, supervision and interpretation) with 43242 (Endoscopy with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy[s]). But you still can bill 76975 with 43259 (Esophagogastroduo-denoscopy with endoscopic ultrasound examination), says Joel Brill. But don't expect this discrepancy to escape the notice of policymakers forever, he says.   Other services, such as Doppler studies and celiac nerve blocks, have become harder to bill with EUS as well, Brill says. ...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.