Coding and reimbursement for gastrointestinal endoscopic procedures in primary care.
Endoscopic diagnostic procedures have become part of the comprehensive care provided by many primary care physicians, and when these physicians interact with third-party payers, they must correctly report the endoscopic services they have provided. Included in this review are commonly used upper and lower gastrointestinal endoscopic procedure codes; corresponding reimbursement values from one state's Medicare and Medicaid program; lists of diagnosis codes used in reporting upper and lower endoscopy services; and instructions for reporting visits and intravenous anesthesia associated with endoscopy procedures.
Larimore
W L
WL
National Procedures Institute, Midland, MI 48640.
Zuber
T J
TJ
D000771:Anesthesia, Intravenous / Q000191:economics; D001706:Biopsy / Q000191:economics; D014487:Centers for Medicare and Medicaid Services, U.S.; D003953:Diagnosis-Related Groups / Q000145:classification / Q000191:economics; D016099:Endoscopy, Gastrointestinal / Q000145:classification / Q000191:economics*; D005251:Fees, Medical; D006801:Humans; D007344:Insurance Claim Reporting; D008484:Medicaid / Q000191:economics; D016345:Medicare Part B / Q000191:economics; D008991:Monitoring, Physiologic / Q000191:economics; D011320:Primary Health Care / Q000191:economics*; D012051:Reimbursement Mechanisms; D015895:Relative Value Scales; D014481:United States