2023 Gastroenterology Reimbursement and Coding Update (On-Demand) | November 2022-Supplemental CPT Category 3 Codes

Video Transcription

Video Summary

In this video, a Q&A session takes place where various questions regarding medical coding and billing are addressed. The first question relates to using specific codes for family history of colon cancer and colonoscopy screenings. The speaker explains that no modifiers are needed for screening codes, but modifiers may be required when converting to surgical endoscopy. Another question asks about the guidelines for aborting a procedure in the sigmoid colon or prior to the splenic flexure. The speaker explains that CPT guidelines dictate that if a procedure cannot advance beyond the splenic flexure, it is classified as a flexible sigmoidoscopy. The next question pertains to billing for additional colonoscopies due to the presence of polyps left behind from the initial procedure. The speaker suggests that in such cases, no modifiers are necessary if the procedure is diagnostic. Medical necessity is a determining factor for performing follow-up examinations. Other questions address topics such as billing for dysphagia with biopsies, use of modifiers, demarcation in EMRs, billing for endoscopic full-thickness resections, billing for brachytherapy probe placement, and the use of Z codes for office visits and procedures. The speakers provide answers and insights based on their knowledge and experience.

Keywords

medical coding

billing

colonoscopy screenings

modifiers

flexible sigmoidoscopy