2024 Gastroenterology Reimbursement and Coding Update (Virtual) | November 2023-Top 10 2023 Coding Questions Received by ASGE

Video Transcription

Video Summary

This video addresses several coding and billing questions in the context of various endoscopic procedures. One question is regarding billing for a colonoscopy with EMR when the procedure is difficult and time-consuming. The answer suggests that only the EMR procedure can be billed unless there are exceptional circumstances that warrant the use of modifier 22. Documentation of the procedure time and complexity is important to support the use of modifier 22. Another question addresses coding for a positive Cologuard test and suggests that it should be coded as a screening colonoscopy with a specific modifier for Medicare patients. It is important to ensure that patients receiving Cologuard are average risk. The video also discusses billing for procedures involving multiple providers in the office setting, with the recommendation to use modifier 62 when providers from separate specialties work together. Other topics covered in the video include coding for endoscopic mucosal resection, documenting abnormal liver function tests, denial of claims due to authorization mismatches, and billing for interpretation of images during ERCP.

Asset Subtitle

Kathleen A. Mueller, RN, CPC, CGCS, CCS-P, CMSCS, PCS, CCC

Keywords

colonoscopy with EMR

modifier 22

positive Cologuard test

screening colonoscopy

multiple providers in office setting