Verdes Medical Billing

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Specialty Billing

Gastroenterology Billing

Specialized billing for GI practices covering endoscopy and complex procedure coding.

Overview

Gastroenterology billing centers around complex endoscopic procedures, facility versus professional billing splits, and proper coding of diagnostic versus therapeutic interventions performed during the same session. Accurate GI billing requires understanding of anatomy-based coding, polyp removal techniques, and multiple procedure rules.

Our GI billing specialists handle the full range of gastroenterological services, from screening colonoscopies and upper endoscopies to complex ERCP procedures, capsule endoscopy, and motility studies. We ensure that every intervention performed during a procedure is captured and coded correctly.

Common Challenges

Complex endoscopy coding with multiple intervention reporting

Screening versus diagnostic colonoscopy distinction affecting coverage

Facility and professional component billing separation

Multiple polyp removal technique coding rules

ERCP and advanced endoscopy procedure billing

Capsule endoscopy and motility study documentation requirements

Our Solutions

Endoscopy-specific coding protocols for accurate procedure capture

Proper screening/diagnostic colonoscopy coding and modifier usage

Facility and professional component billing management

Multi-technique polyp removal coding optimization

Advanced endoscopy billing expertise including ERCP

Complete diagnostic study billing management

Common CPT Codes We Handle

45378 Diagnostic Colonoscopy
45385 Colonoscopy with polyp removal (snare)
43239 Upper GI Endoscopy with biopsy
43260-43265 ERCP procedures
91110 Capsule Endoscopy
91037-91038 Esophageal pH Monitoring

Results You Can Expect

Maximized endoscopy procedure reimbursement

Proper screening vs. diagnostic coding preventing denials

Complete intervention capture during multi-technique procedures

ERCP and advanced procedure billing expertise

Accurate facility/professional billing separation

Revenue improvement averaging 26% for GI practices

Get Gastroenterology Billing Help

Our specialty billing experts are ready to optimize your revenue.

Free Practice Audit

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