24 Statistics on Change in Medicare Reimbursement for GI Procedures

The American Gastroenterological Association, American College of Gastroenterology and American Society for Gastrointestinal Endoscopy banded together this year to protest the CMS 2014 Medicare reimbursement cuts to upper GI/endoscopy services.

Here are 24 statistics on a few of the significant changes to Medicare reimbursement for GI procedures performed in ambulatory surgery centers from 2012 to 2013, according to the AGA.

Significant reimbursement cuts

Chemodenervation anal musc (CPT/HCPCS: 46505)

•    2012: $985.92
•    2013: $717.60
•    Percent change: -27 percent

Diagnostic sigmoidoscopy (CPT/HCPCS: 45330)

•    2012: $105.52
•    2013: $79.25
•    Percent change: -25 percent

Dest of hemor by thermal energy (CPT/HCPCS: 46930)

•    2012: $143.98
•    2013: $110
•    Percent change: -24 percent

Ligation of hemorrhoids (CPT/HCPCS: 46945)

•    2012: $214.10
•    2013: $171.51
•    Percent change: -20 percent

Significant reimbursement increases

Sigmoidoscopy and decompress (CPT/HCPCS: 45337)

•    2012: $251.67
•    2013: $401.52
•    Percent change: 60 percent  

Sigmoidoscopy with tumor removal (CPT/HCPCS: 45338)

•    2012: $251.67
•    2013: $401.52
•    Percent change: 60 percent

Sigmoidoscopy with ultrasound (CPT/HCPCS: 45341)

•    2012: $251.67
•    2013: $401. 52
•    Percent change: 60 percent  
 
Incision of anal septum (CPT/HCPCS: 46070)

•    2012: $624.80
•    2013: $717.60
•    Percent change: 15 percent  

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