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Gastroenterology Coding Alert

Modifier -22, Related Codes Can Be Used to Increase Reimbursement for Balloon Dilations
Although balloon dilation of the lower intestine is commonly performed by gastroenterologi... Read more
CPT 2000 Changes for Critical Care Mean Billing for Time
The new CPT 2000 has made extensive changes to its critical care evaluation and management... Read more
Proper Use of Control of Bleeding Codes May Yield Higher Reimbursements
Medicare often includes control of bleeding in its reimbursement for endoscopic polypectom... Read more
Get Reimbursed for Conscious Sedation From Private Insurers
Although Medicare usually does not reimburse gastroenterologists for the administration of... Read more
Clarification:
Modifier -51 vs. Modifier -59
In the September 1999 Gastroenterology Coding Alert, the article Correct Coding for Mult... Read more
Reader Question:
Duodenal Stents
Question: What code should we use for an EGD duodenal stent? Lori Salmon Gastroenterology ... Read more
Reader Question:
Cold Biopsy Forceps
Question: What is the proper code to use for removal of a polyp with cold forceps?Darlene ... Read more
Reader Question:
Multiple Procedures
Question: South Carolina Medicare is refusing to pay for multiple procedures that have the... Read more
Notable CPT 2000 Changes for Gastroenterologists
The new CPT 2000 has several changes that will interest gastroenterologists, most notably... Read more
Reimbursement for Both ER Consultations and Same-day Procedures
After a consultation, gastroenterologists frequently may recommend immediately doing a p... Read more
Optimize Reimbursement for Incomplete Colonoscopies
Gastroenterologists who still report incomplete colonoscopies with the CPT code for flex... Read more
Interpret Esophageal Manometry Tests and Get Reimbursed
Although esophageal manometry has been around for approximately 25 years, some gastroenter... Read more
Raeder Question:
Correct Modifier Use
Question: We are having a problem with insurance companies that deny consultations and hos... Read more
Reader Question:
Billing Fecal Occult Blood Tests
Question: In the September Gastroenterology Coding Alert article on fecal occult blood t... Read more
Reader Question:
Modifier 51
Question: Your article, Correct Coding Tactics for Multiple Endoscopic Procedures (Septemb... Read more
Two Methods for Improving Reimbursements of Colonoscopies with Multiple Removal Techniques
Colonoscopy is one of the most common procedures performed in gastroenterology practices. ... Read more
Medicare Clarifies Coding for Consultations
When hepatitis C patients are referred to us by a primary care physician, is the first vis... Read more
Two-man vs. One-man PEG Tube Placements Cause Confusion
PEG tube placements are used when patients are unable to eat or swallow, according to Kath... Read more
Instruction on Interferon Injections by Nursing Staff may be Eligible for Reimbursement
Injections of interferon are often a gastroenterologists treatment of choice for patients ... Read more
Reader Question:
Botox Injections
Question: We use Botox injections to relax the esophagus. Our local Medicare payer reimbur... Read more
Reader Question:
Colorectal Screening for Average-Risk Patients
Question: How do we get reimbursed by Medicare for performing colorectal screening procedu... Read more
Increase Reimbursement by Properly Coding FOBTs
If youre not billing payers for fecal occult blood tests (FOBTs) performed during an offic... Read more
Correct Coding for Multiple Endoscopic Procedures
When a patient is having several endoscopic procedures on the same day, the gastroenterolo... Read more
Conscious Sedation Will be Paid With Flexible Sigmoidoscopy
In general, you cant bill conscious sedation (99141, 99142) with endoscopic procedures. Th... Read more
Optimize Initial Office Visit Claims by Correctly Coding Consultations
If youre still automatically billing consult codes according to the old CPT adage, Initia... Read more
Modifier -25 Key:
Get Paid for a Hospital Consult and Procedure on Same Day
When a gastroenterologist is asked as a consultant to see a patient in the hospital, and p... Read more
Available Years:  1999  

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