Diagnostic colonoscopy code 45378 among 25 slated for review

Why This Topic Matters

The piece is relevant to practices that rely on Medicare payment for endoscopy services and want to track potential changes affecting reimbursement review cycles.

Article Sections

1. Potential Medicare fee impact for GI practices

   Introduces the reimbursement review context and why gastroenterology practices are paying attention. It frames the article around Medicare fee review activity and its possible effect on endoscopy services.

2. CMS and RUC review context

   Summarizes how CMS submitted codes for review and how the AMA RUC review process fits into the broader five-year valuation cycle. It also describes the general categories of services being reviewed.

3. Utilization and billing context for selected GI codes

   Provides broad utilization information for GI procedures that were identified for review. The section compares general billing frequency and reimbursement context without detailing selection rules.

4. GI codes submitted by CMS for RUC review

   Presents a table of gastrointestinal procedure codes under review from CMS. It includes utilization and payment-related columns as part of the article’s reimbursement overview.

5. Codes submitted by specialty societies for RUC review

   Presents additional procedure codes submitted by specialty societies for review. The section continues the article’s broader discussion of endoscopy, proctosigmoidoscopy, and anoscopy services in the valuation process.