Medicare ASC payments for colonoscopies with lesion removals and colonoscopies and biopsies are expected to increase in 2023, according to VMG Health's "ASCs in 2022: A Year in Review" report released Jan. 26.
Here is a summary of the estimated Medicare ASC payments for 2022 and 2023 for two colonoscopy procedures:
Colonoscopy and biopsy
CPT code: 45380
Estimated 2022 payments: 235
Percent of total Medicare: 4 percent
Estimated 2023 payments: 247
Percent total Medicare: 4 percent
Estimated 2023 change: 5 percent
Colonoscopy with lesion removal
CPT code: 45385
Estimated 2022 payments: 191
Percent of total Medicare: 3.3 percent
Estimated 2023 payments: 201
Percent total Medicare: 3.3 percent
Estimated 2023 change: 5 percent