Gastroenterology
- Specialties
- Gastroenterology
Comprehensive Gastroenterology Billing Services
Patient eligibility and benefit verification
Accurate procedure and diagnosis coding (ICD-10, CPT, HCPCS)
Claim creation, review, and clean submission
Modifier management for bundled/unbundled procedures
Real-time denial tracking and appeals
Payment posting and AR management
MIPS compliance and PQRS reporting (if required)
Detailed monthly performance reports
Who We Serve ?
GI Private Practices
Multi-specialty Clinics with GI Departments
Hospital-affiliated Gastroenterologists
Ambulatory Surgery Centers (ASCs)
Liver Clinics & Digestive Health Centers
EHRs, EMRs, and Clearinghouses We Integrate With
| EHR/PM Platforms | Clearinghouses |
|---|---|
| gGastro | Availity |
| Athenahealth | Office Ally |
| eClinicalWorks | Change Healthcare |
| NextGen | Trizetto |
| Kareo | Waystar |
Need integration with your current software? We handle custom setups.
Request a Free Billing Assessment
Let’s review your current revenue cycle and show you how we can increase reimbursements, reduce denials, and improve cash flow.
Gastroenterology Medical Billing
Maximize Reimbursements for GI Procedures with Specialized Billing Support
Gastroenterology is a high-volume specialty with complex coding requirements, frequent procedure bundling, and variable payer guidelines. At Billingbird, we help GI practices navigate these challenges by offering expert end-to-end billing solutions tailored to the unique workflows of gastroenterologists.
Why Gastroenterology Billing Requires Expertise ?
Gastroenterology covers a wide range of diagnostic and therapeutic procedures, often involving multiple CPT codes per visit, such as for colonoscopies, endoscopies, biopsies, and more. Billing errors in this field can lead to denials, underpayments, or compliance risks.
Key challenges include:
Modifier usage (e.g., 59, 51, 26, 33)
Bundled procedures and global periods
Split/shared services in hospital settings
Pre-authorization for elective procedures
Medical necessity documentation
Our team stays ahead of payer policies and CMS updates to ensure compliant and optimized billing.
Common CPT Codes in Gastroenterology
| CPT Code | Procedure Description |
|---|---|
| 43235 | Upper GI endoscopy (EGD), diagnostic |
| 43239 | EGD with biopsy |
| 43249 | EGD with balloon dilation |
| 45378 | Diagnostic colonoscopy |
| 45380 | Colonoscopy with biopsy |
| 45385 | Colonoscopy with polyp removal by snare |
| 45388 | Colonoscopy with ablation of lesion/polyp |
| 45330 | Flexible sigmoidoscopy |
| 91110 | Capsule endoscopy (GI tract) |
| 82270 | Fecal occult blood test (screening) |
| 82274 | Fecal immunochemical test (FIT) |
