Finding Out About Bundling Edits
Could you please tell me the rule for billing code 43235 along with 43260?
Question: Could you please tell me the rule for billing code 43235 along with 43260?
Answer: The place to look is CMS’ National Correct Coding Initiative Edits for Physicians.
When I look at the column 1/column 2 edits for the digestive series, I see it lists 43260 in column 1 and 43235 in column 2. That means they typically would be bundled.
Bill the 43260 and only use a modifier (probably -59) if there truly is some unusual circumstance.
For more information on CCI edits, type CCI into our site’s “Search Articles” box.
Asset Protection and Financial Planning
December 6th 2021Asset protection attorney and regular Physicians Practice contributor Ike Devji and Anthony Williams, an investment advisor representative and the founder and president of Mosaic Financial Associates, discuss the impact of COVID-19 on high-earner assets and financial planning, impending tax changes, common asset protection and wealth preservation mistakes high earners make, and more.
