The emergency update affected GI/endoscopy office payments. Here are the top eight codes with the highest reductions in non-facility payment.
CPT 45346 (Sigmoidoscopy with ablation)
• New 2016 non-facility payment: $3,166.89
CPT 45388 (Colonoscopy with ablation)
• New 2016 non-facility payment: $3,327.29
CPT 44401 (Colonoscopy with ablation)
• New 2016 non-facility payment: $3,308.32
CPT 43220 (Esophagoscopy balloon less than 30 mm)
• New 2016 non-facility payment: $1,151.11
CPT 43213 (Esophagoscopy retro balloon)
• New 2016 non-facility payment: $1,244.20
CPT 91112 (GI wireless capsule)
• New 2016 non-facility payment: $1,090.24
CPT 91112 with modifier TC (GI wireless capsule measure)
• New 2016 non-facility payment: $978.53
CPT 43249 (Esoph EGD dilation less than 30 mm)
• New 2016 non-facility payment: $1,090.60
Click here to learn more about the emergency update.
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