Top 10 GI code facility payments: 2015 vs. 2014

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  

CPT Copyright 2014 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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