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.



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