2023 Gastroenterology Reimbursement and Coding Update (On-Demand)

Pdf Summary

The document provides an overview of various topics related to GI practice and upcoming changes in 2023. It begins with a disclosure of a financial relationship with Boston Scientific. The document also includes a disclaimer about the accuracy of information and the responsibility of each practice/provider to follow current regulations.<br /><br />The document then lists several objectives/agenda items, including the extension of the Public Health Emergency (PHE) and changes to the 2023 ASC Fee Schedule and Physician Fee Schedule. It also covers updates on CMS screening colonoscopy, new CPT codes for 2023, and the 2023 ICD-10-CM update.<br /><br />Regarding the PHE extension, it states that the telehealth and other waivers and flexibilities implemented during the PHE will remain in effect until at least January 16, 2022. It mentions the increase in the ASC fee schedule and provides information on ASC measures and a new measure for COVID-19 vaccination. The document also discusses changes to the Physician Fee Schedule, including the CY 2023 conversion factor and the impact of the Pay-As-You-Go sequester.<br /><br />The document highlights revisions and updated guidelines for evaluation and management (E/M) visit codes, including new descriptor times and revised interpretive guidelines for medical decision making. It also discusses split/shared E/M visits and telehealth services under the Physician Fee Schedule.<br /><br />Furthermore, it provides information on the expansion of Medicare coverage for certain colorectal cancer screening tests and requirements for manufacturers to provide refunds for discarded amounts of drugs. It lists new CPT codes and ICD-10 codes for GI practices and updates on payer policies from Horizon BC/BS and Cigna.<br /><br />The document ends with a mention of additional issues impacting GI practices that will be discussed but are not elaborated on in the summary.

Asset Subtitle

Kathleen A. Mueller, RN, CPC, QMC, QGMC, CCS-P, ICD-10 Proficient

Keywords

GI practice

changes in 2023

financial relationship

Boston Scientific

Public Health Emergency

ASC Fee Schedule

Physician Fee Schedule

CMS screening colonoscopy

new CPT codes

ICD-10 codes for GI practices