CPT Codes

The American Society for Gastrointestinal Endoscopy (ASGE) has published two new coding sheets in order to assist practices in understanding and implementing GI-specific coding.

As ASGE notes, the purpose of the coding sheet is to "provide a high level overview to support practices as they prepare for 2016."

Coding sheets are available for:

  • Colonoscopy (CPT codes 45378-45398, G0105, G0121). Colonoscopy is a procedure in which a trained specialist uses a long, flexible, narrow tube with a light and tiny camera on one end, called a colonoscope or scope, to look inside your rectum and colon. Colonoscopy can show irritated and swollen tissue, ulcers, polyps, and cancer.
  • Endoscopic retrograde cholangiopancreatography (ERCP) (CPT codes 43260-43278). ERCP is a procedure that combines upper gastrointestinal (GI) endoscopy and x rays to treat problems of the bile and pancreatic ducts. ERCP is also used to diagnose problems, but the availability of non-invasive tests such as magnetic resonance cholangiography has allowed ERCP to be used primarily for cases in which it is expected that treatment will be delivered during the procedure

Each coding sheet explains the procedure, provides an image of it, and then provides the associated CPT code descriptions.

Practices should use these coding sheets to determine the proper CPT code for these procedures.

The mission of ASGE, founded, in 1941, is to advance patient care and digestive health by promoting excellence and innovation in gastrointestinal endoscopy. ASGE, with more than 14,000 members worldwide, promotes the highest standards for endoscopic training and practice, fosters endoscopic research, recognizes distinguished contributions to endoscopy, and is the foremost resource for endoscopic education.

For more assistance with determining the proper CPT, ICD-10 and HCPCS codes, visit the website of PGM Billing, a leading physicians billing service. There you will find many valuable Practice Management Tools, including ones for ICD-10 conversion, looking up HCPCS codes and a CPT codes search app.

The American Medical Association (AMA) has announced it intends to create new Current Procedural Terminology (CPT) codes for telehealth services.

A new AMA-sponsored workgroup — the Telehealth Services Workgroup — gathered for the first time in October. The workgroup will serve as a facilitator for proposals to expand CPT's current telehealth codes to include emerging services.

The workgroup is a committee comprised of more than 50 industry experts representing physicians, health professionals, telemedicine innovators and health insurers.

AMA President Steven J. Stack, MD, said, in a new release, "The CPT code set is the foundation upon which every participant in the medical community — physicians, hospitals, allied health professionals, payers and others — can efficiently share accurate information about medical services. Input from the Telehealth Services Workgroup will help the CPT code set reflect new technological and telehealth advancements available to mainstream clinical practice, and ensures the code set can fulfill its role as the health system's common language for reporting contemporary medical procedures."

Other responsibilities of the workgroup include developing new introductory language or modifying existing introductory language to guide coding of telehealth services and recommending solutions for the reporting of current non-telehealth services when using remote telehealth technology.

Need assistance identifying correct CPT and other codes? Check out PGM's HCPCS code lookup tool and its other medical codes lookup resources.

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