Forum - Questions & Answers
Mar 20th, 2014 - Olerip56 15
EGD with Dilation
We are not getting paid for by BCBS for the "Dilation of Esophagus by unguided sound or bougie, single or multiple passes."
I billed it with EGD, 43235. I have tried using the 59 and 51 modifiers on 43450, to no avail.
Could someone please help me???
Thanks
Mar 20th, 2014 - ch76606 123
re: EGD with Dilation
I would check with your CMS Carrier to see if there is a LCD for 43235. It is probably denying due to no payable diagnosis.
Mar 20th, 2014 - rphelps 615 1
re: EGD with Dilation
Codes should be 43235 and 43450.