GI procedures dominate at ASCs

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Gastrointestinal procedures make up a huge share of the most commonly billed services at ASCs, according to a March 13 MedPAC report.

While cataract surgeries top the list, several GI-related procedures follow closely, accounting for a large portion of ASC case volume for Medicare beneficiaries.

Here are the GI procedures among the 20 most commonly billed ASC services and their share of total Medicare ASC volume in 2023:

  • Colonoscopy with lesion removal, snare technique – 7.7%
  • Upper GI endoscopy, with biopsy (single or multiple) – 7.4%
  • Colonoscopy and biopsy – 6.7%
  • Colorectal cancer screening, high-risk individual – 2.4%
  • Colorectal cancer screening, not high-risk individual – 1.6%
  • Diagnostic colonoscopy – 1.2%
  • Upper GI endoscopy, diagnostic brush/wash – 0.7%
  • Upper GI endoscopy, guide wire insertion – 0.6%

Combined, these eight GI-related procedures account for nearly 28.3% of all Medicare procedure volume at ASCs in 2023.

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

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