AMA CPT® Assistant - 2017 Issue 12 (December)
Anesthesia for Gastrointestinal Endoscopic Procedures (December 2017)
December 2017 pages 8-11 Anesthesia for Gastrointestinal Endoscopic Procedures In the 2016 Final Rule, the Centers for Medicare & Medicaid Services (CMS) identified codes 00740, Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum, and 00810, Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum, as potentially misvalued based on reporting volume, and indicated that the codes warranted re-review by the AMA/Specialty Society Relative Value Scale Update Committee (RUC). RUC determined that the vignettes for these codes, which are used for anesthesia furnished in conjunction with upper and lower gastrointestinal (GI) procedures, respectively, did not...
Subscribe or sign in to view the full article.
Article Overview
This article explains a CPT update focused on anesthesia services for gastrointestinal endoscopic procedures. It is relevant to anesthesia coders, GI coding staff, and reimbursement professionals who need to understand the scope of the 2018 code changes, related reporting concepts, and the general framework used for anesthesia documentation and modifier reporting.
Why This Topic Matters
It helps readers identify the revised anesthesia code family tied to GI endoscopy and understand the surrounding reporting framework that affects how these services are documented and billed.
Article Sections
-
December 2017 pages 8-11
Introductory context for the article and its focus on anesthesia coding changes tied to gastrointestinal endoscopic procedures.
-
Upper Abdomen
Covers the upper gastrointestinal endoscopic anesthesia code family and related example scenarios for typical cases.
-
Reporting Basic Anesthesia Administration Services
Summarizes the general components of basic anesthesia administration services and related supervision context.
-
Reporting Anesthesia Time
Explains how anesthesia time is defined for reporting purposes.
-
Reporting Anesthesia Modifiers
Introduces anesthesia modifier reporting and the use of physical status designations.
-
Reporting Qualifying Circumstances
Describes the general category of qualifying circumstances that may accompany anesthesia services.
-
Upper Abdomen
Contains the clinical example and procedural scenario information associated with upper gastrointestinal endoscopic anesthesia services.
-
Lower Abdomen
Covers the lower intestinal endoscopic anesthesia code family and related example scenarios for typical cases.
-
Lower Abdomen
Contains the clinical example and procedural scenario information associated with lower intestinal endoscopic anesthesia services.
-
Reporting Multiple Surgical Procedures
Discusses general reporting considerations when more than one procedure is involved and anesthesia services are associated with multiple services.
-
Combined Upper and Lower
Presents the combined upper and lower gastrointestinal endoscopic anesthesia scenario and associated example material.
What You Will Learn
- How the article frames the CPT update for gastrointestinal endoscopic anesthesia services
- What general reporting topics are covered for anesthesia administration and time
- Which broad modifier and qualifying circumstance topics are discussed
- What kinds of clinical example scenarios are included for upper, lower, and combined GI endoscopic procedures
Who Should Read This
- Anesthesia coders
- GI procedure coding staff
- Medical billing and reimbursement professionals
- Compliance and documentation teams
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.


Quick, Current, Complete - www.findacode.com