CMS proposes boosting ASC payment rates by 2.7 percent, which would result in an increase in payment for the top 10 GI procedures.
How reimbursement would change:
1. Upper GI endoscopy diagnosis (43235)
Proposed 2020 rate: $395.98
2019 rate: $392.11
2, Upper GI endoscopy, biopsy (43239)
Proposed 2020 rate: $395.98
2019 rate: $392.11
3. Place gastronomy tube (43246)
Proposed 2020 rate: $659.19
2019 rate: $642.40
4. Upper GI endoscopy/guide wire (43248)
Proposed 2020 rate: $395.98
2019 rate:$392.11
5. Esoph endoscopy, dilation (43249)
Proposed 2020 rate:$659.19
2019 rate:$642.40
6. Diagnostic colonoscopy (45378)
Proposed 2020 rate: $385.65
2019 rate: $383.53
7, Colonoscopy and biopsy (45380)
Proposed 2020 rate: $508.57
2019 rate: $504.47
8. Colonoscopy, submucosal injection (45381)
Proposed 2020 rate: $508.57
2019 rate: $504.47
9. Lesion remove colonoscopy (45384)
Proposed 2020 rate: $508.57
2019 rate: $504.47
10. Lesion removal colonoscopy (45385)
Proposed 2020 rate: $508.57
2019 rate: $504.47
A full list of GI procedure reimbursement rates can be found here.
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