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

Best Practices in Coding for Ancillary Services: Anesthesia, Pathology and Other Services

Video Transcription

Video Summary

The video discusses best practices for anesthesia, pathology, and other services in the context of endoscopy. For diagnostic studies, it is crucial to have detailed documentation, including basic demographic information, referring and ordering providers, dates, facility name, indication, description of findings, and the interpreting physician's signature. Documentation requirements for anesthesia include demographic information, diagnosis, procedure performed, findings, comorbidities, ASA class, procedure start and end time, anesthesia provider name, and the supervising physician's name for CRNA supervision.<br /><br />There are specific codes for anesthesia services, such as 00731 for upper endoscopy, 00811 for diagnostic colonoscopy, and 00812 for screening colonoscopy. Conscious sedation is usually reported using code G0500 for moderate sedation during GI endoscopic procedures. Medicare may require modifiers such as 33 for screening procedures and PT for screening converted to diagnostic. The video also mentions pathology services, discussing the importance of clear indications, detailed description, staining if necessary, signature, and dates. Some specific guidelines are provided for stains and the use of PT modifiers for Medicare.<br /><br />The video concludes with a brief mention of dietician services, which can only be billed by registered dieticians and are primarily recognized for diabetes or renal disease.

Asset Subtitle

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

Keywords

anesthesia

pathology

endoscopy

diagnostic studies

documentation requirements

anesthesia services

pathology services