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4046RE: [MedicalBillers] coding question of the day.

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    Nov 1, 2008
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      Debbie

      Oh this is going to be fun then! Take a look at this website on the AGA
      (gastro association for physicians) that explains it in a really good way!

      http://www.gastro.org/wmspage.cfm?parm1=3384

      Coming from the gastro society should be great proof. CPT assistant is also
      top of the line proof too if you have access to it. If you belong to the
      AGA, you can also use their coding hotline and have all 3 of you on the
      conference call---the CPC will tell them the same thing. Let us know how it
      works out. Good thing for you sticking to your guns, you will certainly
      earn your keep!
      Vicki F

      -------Original Message-------

      From: debbie brosnan
      Date: 10/31/2008 6:37:58 PM
      To: MedicalBillers@yahoogroups.com
      Subject: RE: [MedicalBillers] coding question of the day.

      Something in writing from maybe the AMA stating you can do it. I pulled the
      NCCI edit from the CMS website but she said it wasnt good enough. What

      --- On Fri, 10/31/08, Andrea Cavanaugh <andiec@...> wrote:

      From: Andrea Cavanaugh <andiec@...>
      Subject: RE: [MedicalBillers] coding question of the day.
      To: MedicalBillers@yahoogroups.com
      Date: Friday, October 31, 2008, 7:48 PM

      Exactly what does she feel is legal proof?

      -----Original Message-----
      From: MedicalBillers@ yahoogroups. com [mailto:MedicalBillers@ yahoogroups.
      com]
      On Behalf Of debbie brosnan
      Sent: Friday, October 31, 2008 6:19 PM
      To: MedicalBillers@ yahoogroups. com
      Subject: RE: [MedicalBillers] coding question of the day.

      I know I can bill these and be paid. I have in the past. What I need is
      the documentation stating its legal. My new boss doesnt believe me. I did
      find on the NCCI website under modifier 59 an example of the colonoscopy
      scenerio. But, she said it wasnt enough proof.

      --- On Fri, 10/31/08, Andrea Cavanaugh <andiec@bellsouth.
      <mailto:andiec% 40bellsouth. net> net> wrote:

      From: Andrea Cavanaugh <andiec@bellsouth. <mailto:andiec% 40bellsouth. net>
      net>
      Subject: RE: [MedicalBillers] coding question of the day.
      To: MedicalBillers@ <mailto:MedicalBill ers%40yahoogroup s.com>
      yahoogroups. com
      Date: Friday, October 31, 2008, 5:35 PM

      I am wondering if Modifier 59 would be appropriate for the second example?

      Andie

      -----Original Message-----
      From: MedicalBillers@ yahoogroups. com [mailto:MedicalBill ers@ yahoogroups.
      com]
      On Behalf Of debbie brosnan
      Sent: Friday, October 31, 2008 4:56 PM
      To: MedicalBillers@ yahoogroups. com
      Subject: [MedicalBillers] coding question of the day.

      Here is my question.

      Patient is having a colonoscopy. During the colonoscopy dr. finds 2
      polyps in different parts of the colon. He chooses to remove the two polyps
      in two different techniques. One a snare and the other a biopsy. He does
      not remove the scope just changes the tips.

      I also, am looking for documentation on a EGD. Pt has a foriegn body lodged
      in throat. Dr. removes the foreign body. (43247) decides to do a
      diagnositic EGD while he is in there, discovers the patient has a bleeding
      ulcer. He cauterized the bleed (43255). Can I bill for both the removal of
      the foreign body and the cautery?

      Thanks for your help

      Deb

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