tci Part B Insider - 2016 Issue 34

Reevaluated GI Procedures Make Coding Moderate Sedation Easy

Be on the lookout for these six exclusive codes in 2017. Your endoscopy reimbursement could look a lot different next year, thanks to the proposed Medicare Physician Fee Schedule (MPFS). The reason is that CMS plans to remove the value of moderate sedation from your GI endoscopy codes, starting Jan. 1. Impact: “This will have a big impact on our physicians who do these types of scopes frequently,” says Lisa Center, CPC, Physician Practice Manager,Via Christi Hospital Pittsburg, Inc. Pittsburg, KS. “Their RVU totals will drop with the removal of the sedation component from the...

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