2023 Gastroenterology Reimbursement and Coding Update (Virtual) | November 2022-Best Practices in Coding for Ancillary Services Anesthesia Pathology Other Svcs

Pdf Summary

This document discusses best practices for coding and documentation in various ancillary services, including anesthesia, pathology, and nutrition services. Here are some key points from each section:<br /><br />- Documentation requirements for diagnostic studies include information such as patient details, referring provider, date of test, and findings. The date of service for tests that are broken down into professional and technical components can vary depending on billing as a global service or interpretation only.<br /><br />- For pathology services, important documentation elements include the facility name, patient details, date of specimen obtained, and indications for stains. The microscopic description, size, and margins of the specimen should also be included. It is important to follow payer policies regarding special stains and immunostains.<br /><br />- In anesthesia billing, documentation should include the facility name, patient details, pre-anesthesia risk assessment, specific procedure performed, and anesthesia type. The start and end time of anesthesia care and any discontinuous time should be noted. The name of the anesthesia provider must be clearly documented, and modifiers may be required based on the payer.<br /><br />- Moderate sedation services should be billed using the appropriate codes, such as G0500 and 99153. Payers may have different policies regarding the billing of moderate sedation for GI procedures. Some payers bundle moderate sedation codes into the GI endoscopic codes, while others require the use of modifier 59.<br /><br />- Nutrition services can be billed using codes such as 97802, 97803, and 97804. These services can be provided by registered dietitians and may be reimbursed for conditions such as diabetes and renal disease. Medicare does not cover these services for other conditions.<br /><br />Overall, it is important to carefully follow documentation and coding guidelines provided by payers to ensure accurate and timely reimbursement.

Asset Subtitle

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

Keywords

coding

documentation

ancillary services

anesthesia

pathology

nutrition services

diagnostic studies

pathology services

anesthesia billing

moderate sedation services