2022 Gastroenterology Reimbursement and Coding Update: Concrete Solutions to Strengthen Your Foundation in GI Coding and Billing

Video Transcription

Video Summary

In this video Q&A session, the speaker addresses various questions related to medical coding and billing for colonoscopies and other procedures. The first question asks about using a PT modifier for Medicare if a screening colonoscopy turns into a therapeutic colonoscopy. The speaker clarifies that using the PT modifier would be appropriate for procedures like snare or biopsy that were initially intended as screening colonoscopies. They also explain that the primary diagnosis would depend on the specific payer. Another question asks about using modifier 53 for aborted colonoscopies due to poor prep and which code to use. The speaker explains that the colonoscopy code should be used with the 53 modifier and also provides the diagnosis code for poor prep. Additional questions address topics such as modifiers for EUS procedures, documentation requirements for billing certain procedures, and coverage of screening colonoscopies for patients with symptoms or pre-existing conditions. The speaker also discusses coding for incidental findings, age requirements for Medicare coverage, and the use of EMR codes for specific procedures. Overall, the Q&A session provides insights into medical coding procedures and guidelines. No specific credits were mentioned in the video.

Keywords

medical coding

billing

colonoscopies

PT modifier

Medicare

therapeutic colonoscopy