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

Pdf Summary

This document provides an overview of advanced endoscopic procedures and proper documentation and billing practices associated with each procedure. The presenter, Kristin Vaughn, discusses various procedures including 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 />For each procedure, the presenter highlights important billing considerations and provides examples of proper documentation. They emphasize the importance of accurately coding and documenting procedures to ensure proper reimbursement from payers. The presenter also discusses the use of unlisted procedure codes for procedures that do not have a specific CPT code assignment, and provides guidance on submitting claims for unlisted procedures.<br /><br />Overall, this document serves as a resource for healthcare professionals who perform advanced endoscopic procedures, providing guidance on proper coding, billing, and documentation practices to optimize reimbursement.

Asset Subtitle

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

Keywords

Advanced endoscopic procedures

Documentation and billing practices

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)