Video Tip: ESD Billing Process | May 2021-ESD Billing Process Video Tip

Video Transcription

Video Summary

In this video, the speaker discusses the billing process for reimbursement in medical procedures, specifically focusing on colonic and esophageal ESD (endoscopic submucosal dissection). They explain that within their system, they use unlisted codes (43499 for esophagus, 43999 for stomach, and 45399 for colon) along with regular AGD and colonoscopy codes. They emphasize the importance of writing a letter of medical necessity for each patient, providing details about the procedure and its cost-saving benefits. They suggest using the AGA clinical practice update on ESD as supporting documentation. They also explain the process of voluntary predetermination request for private insurance and the option of peer-to-peer consultation in case of rejection. The speaker advocates for this approach to ensure appropriate reimbursement for the procedure. No credits are granted. For more information, the speaker directs viewers to visit www.FEMA.gov.

Keywords

billing process

reimbursement

medical procedures

colonic ESD

esophageal ESD