2024 Gastroenterology Reimbursement and Coding Update | November 2023-01

01 - Breaking News_Mueller

Pdf Summary

The document provides a preview of the year 2024 and discusses current issues impacting GI practice. The presenter, Kathleen A Mueller from AskMueller Consulting, LLC, shares information on various topics related to GI practice.<br /><br />Some of the key points covered in the document include changes to the 2024 ASC Fee Schedule, changes to the 2024 Physician Fee Schedule, updates on CMS Screening Colonoscopy, new CPT codes for 2024, and updates to the ICD-10-CM codes for GI-specific changes.<br /><br />In terms of the ASC Fee Schedule, there is an overall 3.8% increase in the fee schedule for 2023. However, there are no new GI codes added to the ASC payable list. The document also mentions a new ASC measure related to COVID-19 vaccination among healthcare personnel.<br /><br />Regarding the Physician Fee Schedule, it is mentioned that payments rates under the PFS will be reduced by 1.25% in 2024 compared to 2023. However, there will be significant increases in payment for primary care and other direct patient care services.<br /><br />The document also discusses changes in coding and billing practices, including the revision of the definition of "substantive portion" of split/shared E/M visits and the reporting of multiple evaluation and management services on the same date.<br /><br />Furthermore, there are updates on new CPT codes and ICD-10-CM codes for GI-specific changes in 2024. These changes include the addition of new codes related to conditions such as Short Bowel Syndrome, Small Intestinal Bacterial Overgrowth, and various congenital malformations of the liver.<br /><br />Lastly, there is information on an ACA update regarding follow-up colonoscopy after positive stool-based screening findings, where Medicare has expanded coverage for colorectal cancer screening tests.<br /><br />Overall, the document provides an overview of upcoming changes and updates in GI practice, highlighting the important issues and updates practitioners should be aware of in the year 2024.

Keywords

2024 ASC Fee Schedule

2024 Physician Fee Schedule

CMS Screening Colonoscopy

new CPT codes for 2024

ICD-10-CM codes for GI-specific changes

ASC measure related to COVID-19 vaccination

coding and billing practices

revision of 'substantive portion' definition

multiple evaluation and management services

new CPT codes and ICD-10-CM codes for GI-specific changes