2025 Gastroenterology Reimbursement and Coding Update (Virtual) | November 2024-Breaking News- 2025 Preview and Current Issues Impacting GI Practice

Video Transcription

Video Summary

In a presentation about gastrointestinal (GI) practice updates and projections for 2025, several key topics were covered. The discussion highlighted changes in fee schedules for ambulatory surgery centers (ASCs) and physicians, emphasizing that fee increases depend on quality measures submissions via QualityNet. The ASC fee schedule sees a 2.9% increase, contingent on submitted quality measures, while physicians face a potential reduction subject to Congressional intervention.<br /><br />The session also examined new CPT codes, particularly regarding telehealth services, which will continue until the end of 2025. However, Medicare's adoption of new telehealth codes remains uncertain, and there's advice to reduce reliance on telehealth due to potential changes in Medicare coverage policies. Updates on ICD-10 codes affecting polyp history and the integration of blood-based biomarkers in colorectal screenings were also discussed.<br /><br />Additionally, there was a focus on the G2211 code, which supports billing for complex visits involving chronic conditions. The importance of maintaining detailed documentation to support this add-on code was stressed. State legislation developments in GI practice provisions were noted, with examples like Illinois offering more comprehensive insurance coverage for colonoscopies. <br /><br />The presentation concluded with guidance on documenting longitudinal care in practice management and addressing audience questions related to these updates.

Asset Subtitle

Kathleen A. Mueller, RN, CPC, QMC, QGMC, CCS-P, ICD-10 Proficient

Keywords

gastrointestinal practice

fee schedules

telehealth services

ICD-10 updates

G2211 code

state legislation

colorectal screenings