Anyone Using Capsule Colonoscopies?

NARCHER

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Just Wondering If Anyone Is Using This In The Office? How It Is Working? And How Is The Reimbursement From The Payors? Thanks.
 

kathleenw84

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Open Access Capsule

Hi, I'm Kathleen, lead biller for a year and in billing for 2 and half years. We have been using the capsules for about 4 years now. The test is successful as far as finding a hidden GI Bleed, but we formerly had been just scheduling these tests from another doctors referral. In the past few weeks, we are no longer doing this but have a office visit prior to the capsule. There were many times a patient would have the capsule that later the GI' physician would feel they originally did not need the test. The capsule endo is not part of a global per medicare so the E/M visit is separately billed.

They payors all have specific requirements as far as ICD-9 codes. But, we are readily reimbursed 95% of the time without a problem other than sending office notes and test results, labs, ect., also.
 

medmgtalt

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When the capsule is being done because there is a suspected bleed but the other tests were normal, what DX are you using ?
 
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