title: Coding and reimbursement for gastrointestinal endoscopic procedures in primary care.
abstract: 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.
authors.affiliation: National Procedures Institute, Midland, MI 48640.
authors.forename: W L
authors.initials: WL
authors.lastname: Larimore
authors.forename: T J
authors.initials: TJ
authors.lastname: Zuber
mesh_terms: 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