The Centers for Medicare and Medicaid Services released its final 2015 payment rule. Here 20 statistics on the facility payments for 10 top GI/endoscopy CPT codes in 2014 in comparison to 2015 rates, according to the American Gastroenterological Association.
2014 facility payment
• 43239 (EGD biopsy single/multiple): $152.25
• 45380 (Colonoscopy and biopsy): $264.73
• 45385 (Lesion removal colonoscopy): $314.52
• 45378 (Diagnostic colonoscopy): $221.734
• 43235 (EGD diagnostic brush wash): $136.13
• 45384 (Lesion remove colonoscopy): $277.27
• 43246 (EGD place gastrostomy tube): $221.03
• 43248 (EGD guide wire insertion): $183.77
• 43249 (Esoph EGD dilation <30mm): $169.44
• 45381 (Colonoscopy subcutaneous inj): $251.12
2015 facility payment
• 43239 (EGD biopsy single/multiple): $151.44
• 45380 (Colonoscopy and biopsy): $262.07
• 45385 (Lesion removal colonoscopy): $311.11
• 45378 (Diagnostic colonoscopy): $220.18
• 43235 (EGD diagnostic brush wash): $134.61
• 45384 (Lesion remove colonoscopy): $275.31
• 43246 (EGD place gastrostomy tube): $216.96
• 43248 (EGD guide wire insertion): $182.59
• 43249 (Esoph EGD dilation <30mm): $168.62
• 45381 (Colonoscopy subcutaneous inj): $248.46
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