2025 Gastroenterology Reimbursement and Coding Update (On-demand)| November 2024-2025 ICD-10 Updates and Parenthetical Advice Reminders

Video Transcription

Video Summary

The transcript discusses updates and guidelines regarding ICD-10 codes, particularly for gastroenterology. The emphasis is on the challenges providers face with assigning diagnosis codes correctly to avoid claim denials. The conversation includes details about new GI codes, such as those for obesity and other disorders, and emphasizes the importance of specificity in coding, like identifying if Crohn's disease affects the large or small intestine. The text also highlights the significance of Z codes for social determinants of health and the impact of noncompliance, like medication adherence due to financial hardships. It addresses common ICD-10 questions and clarifies when to code personal history versus current conditions, especially for GI and oncology. The discussion underscores the necessity for accurate documentation to properly code conditions and prevent unnecessary denials. The conversation ends with stressing that screening tests should not be billed with active symptoms, as this can affect medical necessity and insurance claims.

Asset Subtitle

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

Keywords

ICD-10 updates

gastroenterology coding

diagnosis code challenges

specificity in coding

social determinants Z codes

accurate documentation