Anesthesia Coding Conference: Five Tips To Achieve Egd Claims Success

By Author: Julia Rose
Total Articles: 89
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Reporting your anesthesiologist's work during an upper gastrointestinal endoscopy, esophagogastroduodenoscopy (EGD), or ... esophagogastroduodenoscopies ) cross to a href="http://www.codingconferences.com/anesthesia_coding.htm>anesthesia code 00740. You will also report 00740 for ERCP services.


Colonoscopy surgical codes 45378-45392 cross to 00810.


Ensure Dx points to medical necessity
Many a time, denials for colonoscopy anesthesia happen as the diagnosis does not meet the payer's criteria for payment. Some insurance companies will repay for anesthesia during the service, however they need documentation supporting medical necessity like physical status modifier of P3 or higher. Other payers list precise conditions and diagnosis codes that you must use to merit anesthesia payment.


For diagnosis support use V codes
The V-code section of ICD-9 may offer help in providing the right diagnosis codes. You may be in the habit of using V codes as secondary codes only, however for some EGD and colonoscopy cases the V code might be the only apt primary diagnosis.


Be ready to appeal
By including support diagnoses and physical status modifiers, you may help get your EGD claims approved without difficulty. However you may also have to appeal some cases that get a medical review even if some payers take in anesthesia services for EGDs.


To get more anesthesia coding tips, sign up for an anesthesia coding conference that's slated to take place in Orlando, FL this December