2023 Gastroenterology Reimbursement and Coding Update (On-Demand) | November 2022-Proper Documentation for Advanced Procedures

Pdf Summary

The document is a summary of a webinar on proper documentation for advanced endoscopy procedures. The webinar covers various procedures such as Endoscopic Ultrasound (EUS), Endoscopic Mucosal Resection, Endoscopic Submucosal Dissection, Pancreatic Necrosectomy, EUS with Fiducial Marker Placement, Endoscopic Gastrocutaneous Fistula Closure, EDGE (Endoscopic Ultrasound Directed Transgastric ERCP), Peroral Endoscopic Myotomy (POEM), Transoral Incisionless Fundoplication (TIF), Chromoendoscopy, and Optical Endomicroscopy. <br /><br />The proper documentation and billing codes for these procedures are discussed in detail. For example, documentation requirements for billing EUS include examination of all three areas of the upper GI tract using ultrasound, and utilization of modifier 59 for separate biopsies. The document provides examples of documentation for each procedure and includes the corresponding CPT codes. <br /><br />The importance of communication between coders and physicians is emphasized, and it is advised to submit documentation and negotiate fees for unlisted procedures. The document also includes information on appropriate billing for unlisted procedures and creating a fee schedule based on established procedures. The webinar instructor's contact information is provided for further inquiries.

Asset Subtitle

Kristin Vaughn, CPC, QMC, QMGC, CPMA, ICDCT-CM

Keywords

webinar

documentation

advanced endoscopy procedures

Endoscopic Ultrasound (EUS)

Endoscopic Mucosal Resection

Endoscopic Submucosal Dissection

Pancreatic Necrosectomy

EUS with Fiducial Marker Placement

Endoscopic Gastrocutaneous Fistula Closure

billing codes