Gastroenterology billing turns on the screening-vs-diagnostic distinction and endoscopy bundling rules. Our certified coders specialize in GI so your colonoscopies, EGDs, and procedures are paid correctly.
Get a Free Gastroenterology Billing AuditWe handle gastroenterology billing end to end — endoscopic procedures, office visits, and infusions. Because GI revenue is concentrated in colonoscopy and endoscopy with intricate screening/diagnostic and bundling rules, a specialty-trained team is what prevents the denials and patient-billing errors common in the field.
The usual losses: screening-vs-diagnostic coding errors, missing modifiers 33/PT, endoscopy bundling mistakes, infusion hierarchy and unit errors, and wrong patient cost-sharing on preventive procedures. GI-trained coders handle each correctly.
Colonoscopy coded with 33/PT so it pays correctly and patients aren't misbilled.
EGD, polypectomy, and interventions coded to method with correct bundling.
Biologic infusions billed with correct hierarchy, units, and J-codes.
GI revenue centers on colonoscopy and endoscopy, which carry intricate screening-vs-diagnostic rules, bundling edits, and modifiers (33, PT, 59). Small errors cause denials and incorrect patient billing.
With modifier PT (and correct diagnosis sequencing). This signals a screening procedure that converted to diagnostic, so it is processed correctly under preventive benefits and the patient is billed appropriately.
Yes. Biologic infusions are billed with the correct infusion hierarchy, units, and drug J-codes, with authorization obtained where required.
Most GI practices see cleaner endoscopy claims and fewer patient-billing errors within the first one to two billing cycles.
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