2023 Gastroenterology Reimbursement and Coding Update (Virtual) | November 2022-Proper Documentation for Advanced Endoscopy: Reimbursement Tips when Billing Unlisted Procedure Codes

Proper Documentation for Advanced Endoscopy: Reimbursement Tips when Billing Unlisted Procedure Codes

Video Transcription

Video Summary

The video discusses proper documentation for advanced endoscopies and how to bill for unlisted procedures. It provides information on various advanced procedures such as endoscopic ultrasound, EMR, chromoendoscopy, and more. The video stresses the importance of submitting unlisted procedures correctly to ensure proper payment. It advises creating a fee schedule based on comparable RVUs of existing codes when billing for unlisted procedures. The video also discusses the need for clear and thorough documentation, including the use of specific verbiage related to the procedure performed. It provides examples of endoscopy reports and emphasizes the importance of including the necessary information to support the billed procedures. The video also covers various advanced procedures such as ERCP, PoEM, and TIF, and provides the corresponding CPT codes for each. It discusses the use of optical chromoendoscopy and endomicroscopy techniques and provides the relevant CPT codes. The video concludes by highlighting the need for proper communication and coordination between coders and providers to ensure accurate claims. It emphasizes the importance of submitting a letter of medical necessity and operative report for unlisted procedures to maximize reimbursement. The video also provides guidelines for billing and documenting unlisted procedures and advises waiting for denials before submitting supporting documentation. Overall, the video provides a comprehensive overview of documentation and billing considerations for advanced endoscopies and unlisted procedures.

Asset Subtitle

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

Keywords

advanced endoscopies

billing

unlisted procedures

documentation

CPT codes

reimbursement

communication