TKoehn
Contributor
Confused on the CPT text under the G0500 -- says it's specifically for "gastrointestinal endoscopic service". So when billing for colonoscopy and EGD can we only bill the G0500 for moderate sedation or can we bill the 99152 if they are not Medicare patients? Most of the documents I find says the G0500 is only for Medicare but I found an article that indicates G0500 is for all payers and GI endo procedures ONLY, meaning the other codes will not be reimbursed for GI endoscopes. THEN I noticed the wording in 99152 is "diagnostic or therapeutic service that the sedation supports" and not the phrase referenced earlier (gastrointestinal endo service) for G0500.
Hope this makes sense, any input would be appreciated. I don't want to bill the 9915x initial code to commercial and have them take money back, as I noted the fee schedule is different for ME so probably different for everyone else.
Thank you so much! Super grateful for the opportunity to ask on this forum
-Tif
Hope this makes sense, any input would be appreciated. I don't want to bill the 9915x initial code to commercial and have them take money back, as I noted the fee schedule is different for ME so probably different for everyone else.
Thank you so much! Super grateful for the opportunity to ask on this forum
-Tif