Colonoscopy coding
Diagnostic (45378), biopsy (45380) and snare polypectomy (45385) coded from the procedure note.
Specialty billing
Gastroenterology billing services
Billing that gets the screening-versus-diagnostic line right.
GI billing depends on whether a colonoscopy is screening or diagnostic, and on how procedures bundle together. Getting that distinction right protects both the claim and the patient’s bill.
What we handle
Billing built for
Gastroenterology practices.
Codes shown are common examples. Payer rules vary, and we apply the policy that applies to each claim.
Upper endoscopy coding
EGD claims including diagnostic (43235) and biopsy (43239) services.
Screening versus diagnostic
Screening codes (G0121, G0105) and modifiers (PT, 33) applied according to payer policy.
Pathology and anesthesia coordination
Facility, professional, pathology and anesthesia claims kept consistent with each other.
ASC and facility billing
Ambulatory surgery center claims billed alongside professional services.
Authorizations and denials
Prior authorization tracking and appeals for medical-necessity denials.
How we work
Four steps.
Nothing left hanging.
- 01
Verify
Eligibility, benefits and authorizations are checked before the visit.
- 02
Code & submit
Encounters are coded from your documentation and claims are checked before they go out.
- 03
Follow up
Rejections, denials and unpaid claims are worked until they are resolved.
- 04
Report
You receive regular reporting on claims, denials and collections.
How do you handle screening colonoscopies that find polyps?
We apply the payer’s screening-to-diagnostic rules and modifiers so the claim reflects what was performed.
Do you bill for ambulatory surgery centers?
Yes. We handle both the professional and facility sides of billing.
Can you coordinate with pathology billing?
Yes. We keep procedure and pathology claims consistent to reduce denials.
Your next chapter starts here
More time for patients.
More potential for your practice.
Start with a free practice audit or a conversation about your Gastroenterology practice.
No patient information needed.