Reader Question: Observe Payer Rules for FMT

Article Overview

This reader question addresses how fecal microbiota transplant services are reported when performed during an endoscopic procedure. It focuses on the distinction between standard CPT reporting and Medicare-specific HCPCS reporting, along with the payer-policy implications that affect how the service is captured for different beneficiaries. The article is useful for coders, billers, and gastroenterology practices that need to understand which code families are involved in this type of service.