2026 Gastroenterology Reimbursement and Coding Update (Virtual) | November 2025-Breaking News: 2026 Preview and Current Issues Impacting GI Practice

Video Transcription

Video Summary

This session covers recent updates in healthcare billing and coding relevant to GI practices, focusing on the 2024 Physician Fee Schedule and upcoming 2026 CPT codes. Key points include a modest increase in the physician fee schedule conversion factor, telehealth billing extensions through January 30, and clarification on G2211, a code addressing complex visit management in GI care. The discussion emphasizes accurate coding, particularly avoiding vague diagnoses like unspecified abdominal pain (R10.9), and encourages specificity to reduce claim denials. New ICD-10 codes address pain localization, cannabis hyperemesis syndrome, genetic predispositions, and social determinants of health impacting patient care. Proper documentation linking diagnosis to treatment plans is crucial to avoid payer downcoding, as seen with insurers like Cigna. The session also previews topics like E&M coding nuances, advanced payment models, and revenue cycle management. Resources and Q&A support are provided to help practices navigate these complex updates effectively.

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

Meta Tag

Concept Physician Fee Schedule

Concept Telehealth Policy

Concept CPT G2211

Concept ICD-10 Diagnosis Code

Concept Conversion Factor

Keywords

2024 Physician Fee Schedule

2026 CPT codes

GI practice billing

telehealth billing extension

G2211 complex visit code

ICD-10 new codes

Physician Fee Schedule

Telehealth Policy

CPT G2211

ICD-10 Diagnosis Code

Conversion Factor