News & Analysis ASC Coding, Billing and Reimbursement Issues Average Charge and Payment Data for 7 Lower-GI Procedures Commonly Performed in ASCs
| Average Charge and Payment Data for 7 Lower-GI Procedures Commonly Performed in ASCs |
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| Written by Stephanie Wasek | |
| Friday, 22 August 2008 | |
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Here is the average 2007 Medicare sub charge (submitted charges divided by allowed services), average allow charge (Medicare-allowed charges divided by allowed services, including co-pays and deductibles paid by patient), and average payment (Medicare payments divided by allowed services, not including co-pays and deductibles paid by patient) for seven lower-GI procedures commonly performed in ASCs.
1. Scope of colon thru ostomy for diagnosis (CPT 44388)
2. Scope of colon with biopsy thru ostomy (CPT 44389)
3. Scope of sigmoid colon only with biopsy (CPT 45331)
4. Scope of colon for diagnosis (CPT 45378)
5. Scope of colon with biopsy (CPT 45380)
6. Cancer screen colon scope, high risk patient (HCPCS G0105)
7. Cancer screen colon scope, not high risk patient (HCPCS G0121)  |
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