Coding Updates for Gastroenterology 2015

Event Information
Product Format
Prerecorded Event
Jill M. Young, CPC, CEDC, CIMC
60 minutes
Product Description

Get the Lowdown on New and Revised Gastroenterology Codes for 2015

Do you remember how significant changes to the Upper Endoscopy codes occurred in 2014? CPT® 2015 gives us additional guidance and clarification on the use of these new codes. In 2015, CPT® completely rewrites the guidelines for Lower Endoscopy codes. Plus, you’ll find that CPT® 2015 inserted a new Colonoscopy Decision Tree into the coding section. In this colonoscopy code section, all CPT® codes were affected with 5 new and 10 revised codes. Understanding these changes and working with your provider on what documentation is needed to compliantly use the new and revised codes is a must. Also, you have to contend with Medicare's take on the changes. 

Join expert speaker Jill M. Young - CPC, CEDC, CIMC in this informative session, to discuss the following:

  • Going in-depth with the Colonoscopy Decision Tree - where to find it and how to use it
  • Locating and understanding the new definitions of endoscopy procedures (i.e., sigmoidoscopy, colonoscopy, colonoscopy through a stoma)
  • Highlighting the four new and six revised sigmoidoscopy codes; five new and ten revised colonoscopy codes

Session Highlights

  • How your provider should document for the revised endoscopy codes to avoid any compliance issues
  • How to code for the use of fluoroscopy and what has changed in 2015
  • Don’t miss these ERCP, colonoscopy and other endoscopy guidelines changes — or you could be facing a denial.
  • Check out Medicare's new coverage of the stool DNA test as a colorectal screening tool
  • Determine how to appropriately append modifier 59 and the new sub-set modifier
  • Underline this new code that will identify the emerging procedure used for non-surgical and non-incisive removal and repair of Zenker’s diverticulum.

Again in 2015, the gastroenterology specialty has seen significant changes in their codes. Last year, CPT® changed how you reported upper endoscopy procedures. In 2015, CPT® focuses on lower endoscopy, meaning that yet again, it’s up to you to get educated before January 1 hits. Otherwise, your claims could get lost in limbo or worse—face a denial.

You shouldn’t count on checking what CPT® codes are new, revised, or deleted. You have to dig deeper. You need to implement changes in the gastroenterology guidelines. Plus, your providers will have new documentation requirements. Learning all these changes, no matter how miniscule, are a must to understand for anyone working in the gastroenteroscopy area.

Who should attend

Coders, Billers, Office and Practice Managers, Physicians


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About Our Speaker

Jill M. Young - Pulmonology Guidelines Expert

Jill Young, CPC, CEDC, CIMC, is the Principal of Young Medical Consulting, LLC, A company founded 11 years ago to meet the education and compliance needs of physicians and their staff. Jill has over 30 years of medical experience working in all areas of the medical practice including clinical, billing and rounding with physicians. Her comments and opinions can be seen in several publications and also...   More Info
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