Colonoscopy Facility Reimbursement: 2013 vs. 2014

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How has colonoscopy facility reimbursement changed from 2013 to 2014?

Here are 30 statistics on colonoscopy facility payment in 2013 and 2014 and the percent change between the two years, according to the 2014 Estimated Medicare Reimbursement Rates for GI Services report from the American Gastroenterological Association.

Diagnostic colonoscopy (CPT code 45378)
•    Facility payment 2014: $210.58
•    Facility payment 2013: $220.45
•    Percent change: -4 percent

Colonoscopy w/fb removal (CPT code 45379)
•    Facility payment 2014: $264.34
•    Facility payment 2013: $275.90
•    Percent change: -4 percent

Colonoscopy and biopsy (CPT code 45380)
•    Facility payment 2014: $251.41
•    Facility payment 2013: $262.97
•    Percent change: -4 percent

Colonoscopy submucous injection (CPT code 45381)
•    Facility payment 2014: $238.48
•    Facility payment 2013: $249.71
•    Percent change: -4 percent

Colonoscopy/control bleeding (CPT code 45382)
•    Facility payment 2014:
•    Facility payment 2013:
•    Percent change:

Lesion removal colonoscopy (CPT code 45383)
•    Facility payment 2014: $327.27
•    Facility payment 2013: $341.22
•    Percent change: -4 percent

Lesion removal colonoscopy (CPT code 45384)
•    Facility payment 2014: $263.31
•    Facility payment 2013: $274.54
•    Percent change: - 4 percent

Lesion removal colonoscopy (CPT code 45385)
•    Facility payment 2014: $298.70
•    Facility payment 2013: $311.96
•    Percent change: -4 percent

Colonoscopy dilate stricture (CPT code 45386)
•    Facility payment 2014: $258.55
•    Facility payment 2013: $270.46
•    Percent change: -4 percent

CPT Copyright 2013 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

More Articles on Gastroenterology:
Bundled Payments for Colonoscopy & Beyond: Can GI Practices Build a Viable Model?
Value-Based Payments: 6 Important Dates for Gastroenterologists
11 Years of Colonoscopy Utilization & Outcomes: 7 Points to Know

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